Individual
KERI GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CPNP
Contact information
Practice address
1005 SH 16, GRAHAM, TX 76450
(940) 282-2512
Mailing address
PO BOX 867, GRAHAM, TX 76450-0867
(817) 798-9160
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1130605
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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