Individual
KERRY DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1507 S HIAWASSEE RD, STE 105, ORLANDO, FL 32835-5706
(407) 445-9224
(407) 445-6236
Mailing address
1507 S HIAWASSEE RD, STE 105, ORLANDO, FL 32835-5706
(407) 445-9224
(407) 445-6236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3211912
FL
363LF0000X
Family Nurse Practitioner
ARNP3211912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104864826
GROUP NPI
FL
01
—
1730127655
MD NPI
FL
01
—
ARNP3211912
FLORIDA LICENSE
FL
Enumeration date
08/28/2008
Last updated
04/28/2020
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