Individual
KERRI MICHELLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-C
Contact information
Practice address
1723 BROADWAY ST STE 315, CAPE GIRARDEAU, MO 63701-4556
(573) 519-4960
Mailing address
155 FALCON TRL, CAPE GIRARDEAU, MO 63701-9732
(573) 421-2181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022026217
MO
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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