Provider Demographics
NPI:1164394466
Name:TERRELL, CHERRY RENEA
Entity type:Individual
Prefix:
First Name:CHERRY
Middle Name:RENEA
Last Name:TERRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 WOODGATE ARCH
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-7805
Mailing Address - Country:US
Mailing Address - Phone:757-447-8211
Mailing Address - Fax:
Practice Address - Street 1:500 E MAIN ST STE 174
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2218
Practice Address - Country:US
Practice Address - Phone:757-447-8211
Practice Address - Fax:757-447-8511
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health