Individual
CARRIE ANN GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 898-7451
Mailing address
812 CARMEL CV, COLLIERVILLE, TN 38017-1359
(901) 550-8228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11001734
FL
363LP0200X
Pediatric Nurse Practitioner
24253
TN
Other
Enumeration date
06/05/2018
Last updated
03/06/2019
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