Individual
MRS. CHERYL ROSE KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 HO PLAZA, GANNETT HEALTH SERVICES, ITHACA, NY 14853
(607) 255-6106
(607) 254-3503
Mailing address
83 S MAIN ST, HOMER, NY 13077-1626
(607) 749-2497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F334897-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400986-1
NY
Other
Enumeration date
08/31/2006
Last updated
05/20/2015
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