Provider Demographics
NPI:1942869094
Name:CHERY, INA (APRN)
Entity type:Individual
Prefix:
First Name:INA
Middle Name:
Last Name:CHERY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 METROWEST BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7631
Mailing Address - Country:US
Mailing Address - Phone:407-848-7108
Mailing Address - Fax:949-703-8201
Practice Address - Street 1:6000 METROWEST BLVD STE 208
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7631
Practice Address - Country:US
Practice Address - Phone:407-848-7108
Practice Address - Fax:949-703-8201
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN10002679363LF0000X
FL11002679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11002679OtherARNP LICENSE