Aisha Cherry
Individual provider Active NPI Registered Nurse · Locust Grove, GA
NPI 1902331101 · NPPES record last updated Apr 25, 2017
Key facts
- NPI
- 1902331101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 237341 (GA)
- Practice address
- 416 Kirkland Dr
Locust Grove, GA 30248-7220 - Phone
- (845) 505-4291
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237341 | GA | MD | Registered Nurse |
| 626152 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 237341 | GA | Yes |
| Registered Nurse | 163W00000X | 626152 | NY |
Addresses
Primary practice location
416 Kirkland Dr
Locust Grove, GA 30248-7220
Mailing address
416 Kirkland Dr
Locust Grove, GA 30248-7220
Phone (845) 505-4291
Other providers in Locust Grove, GA
- Erica Zanae Carmouche
- Makayla A Carson
- Cliford Charles
- Roshonda R Chatman
- Andjie Nneka Cherichel
- Comforcare Clayton Henry LLC
- Comfort Zone Personal Care Home LLC
- Beverly O Coogler
- Wyman Cook Jr.
- Correctmed Locust Grove, LLC
All providers in Locust Grove, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.