Individual
KERRI LANE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
612 N MAIN ST STE B, ENTERPRISE, AL 36330-1775
(334) 305-2800
(334) 305-2801
Mailing address
118 OBRANNAN PARK DR, DOTHAN, AL 36303-2052
(334) 305-2800
(866) 554-1248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-116377
AL
363LP2300X
Primary Care Nurse Practitioner
1-116377
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861007957
BLUE CROSS BLUE SHIELD
AL
05
—
1861007957
—
AL
Enumeration date
09/15/2020
Last updated
03/13/2026
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