Individual
KATIE KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1115 N 2ND ST STE 1, BOONEVILLE, MS 38829-1021
(662) 480-4141
Mailing address
1115 N 2ND ST STE 1, BOONEVILLE, MS 38829-1021
(662) 480-4141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903781
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144800251
NPI
—
Enumeration date
04/12/2021
Last updated
03/21/2022
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