Individual
MS. KERRY KAY PEETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
335 1ST AVE N, LEWISBURG, TN 37091-2826
(931) 270-0050
(931) 270-0052
Mailing address
335 1ST AVE N, LEWISBURG, TN 37091-2826
(931) 270-0050
(931) 270-0052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21025
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035010877
MEDICARE ID-PTAN
TN
05
—
Q022632
—
TN
Enumeration date
03/14/2016
Last updated
08/26/2016
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