Provider Demographics
NPI:1598554214
Name:RUCKER, SHERRY LEA
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LEA
Last Name:RUCKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CROWN CIR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9458
Mailing Address - Country:US
Mailing Address - Phone:740-617-6086
Mailing Address - Fax:
Practice Address - Street 1:3375 WESLEY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7154
Practice Address - Country:US
Practice Address - Phone:740-617-6086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant