# DR. KERRY RAE CREASY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649562950
- **Gender:** F
- **Credential:** PHD, APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001340376 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024194634 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN9281775 | FL | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 09/22/2025
