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Individual

KERRI GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-7386
Mailing address
1 RHINE DR, KENNER, LA 70065-1129
(504) 417-5959

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN108874
LA
363LF0000X
Family Nurse Practitioner
Primary
225800
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1701033
LA
Enumeration date
05/02/2022
Last updated
08/02/2022
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