Provider Demographics
NPI:1730372970
Name:CHERRY, TANIKA JANEE' (RN)
Entity type:Individual
Prefix:MRS
First Name:TANIKA
Middle Name:JANEE'
Last Name:CHERRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9274
Mailing Address - Country:US
Mailing Address - Phone:614-316-3313
Mailing Address - Fax:614-835-0038
Practice Address - Street 1:3930 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9274
Practice Address - Country:US
Practice Address - Phone:614-316-3313
Practice Address - Fax:614-835-0038
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-307442163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical