| Doctor Name: | SHERRY JO WOOLVERTON-JONES |
| NPI Number: | 1093926255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPO |
| License Number: | 1150 |
| Business Practice Address: | 2118 E Main St Humboldt, TN - 383433054 |
| Business Phone Number: | 7317841973 |
| Business Fax Number: | 7317849545 |
| Mailing Address: | 2118 E Main St, HUMBOLDT |
| State: | TN |
| Postal Code: | 383433054 |
| Phone Number: | 7317841973 |
| Fax Number: | 7317849545 |
| NPI Enumeration Date: | 05/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 1150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |