Provider Demographics
NPI:1093185217
Name:KERR, JOY C (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:C
Last Name:KERR
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:34TH STREET AND CIVIC CENTER BOULEVARD3RD
Mailing Address - Street 2:FLOOR WOOD BUILDING, DIVISION OF UROLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-2754
Mailing Address - Fax:267-426-7335
Practice Address - Street 1:3401 CIVIC CENTER BLVD.
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-2754
Practice Address - Fax:267-426-7335
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP015340363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics