Provider Demographics
NPI:1093795361
Name:KERR, BILLIE JEAN (NP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JEAN
Last Name:KERR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:235 E ROWAN AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1240
Mailing Address - Country:US
Mailing Address - Phone:509-482-4313
Mailing Address - Fax:509-482-2918
Practice Address - Street 1:235 E ROWAN AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1240
Practice Address - Country:US
Practice Address - Phone:509-482-4313
Practice Address - Fax:509-482-2918
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30001028363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9609504OtherDSHS
WAS60096Medicare UPIN
AB05266Medicare ID - Type Unspecified