Individual
TRUDY JO KERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
(615) 331-3740
Mailing address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
(615) 331-3740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03257
NC
363AM0700X
Medical Physician Assistant
0067
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067
TN STATE LICENSE
TN
01
—
03257
MEDICAL BOARD
NC
Enumeration date
12/20/2011
Last updated
08/27/2013
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