Individual
CORRIE CROSS KILLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3630 MANATEE AVE W, BRADENTON, FL 34205-2557
(941) 792-1881
(941) 795-3924
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11009558
FL
363LF0000X
Family Nurse Practitioner
APRN11009558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110700500
—
FL
Enumeration date
10/14/2020
Last updated
10/24/2022
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