Individual
KERRY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5153 N 9TH AVE STE 404, PENSACOLA, FL 32504
(850) 416-2554
(850) 416-7442
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-2554
(850) 416-7442
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9267717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477092211
—
FL
Enumeration date
02/13/2017
Last updated
07/31/2018
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