Provider Demographics
NPI:1336471986
Name:KERR, HOLLY-ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY-ANN
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1852
Mailing Address - Country:US
Mailing Address - Phone:813-348-9088
Mailing Address - Fax:813-348-9310
Practice Address - Street 1:2809 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1852
Practice Address - Country:US
Practice Address - Phone:813-348-9088
Practice Address - Fax:813-348-9310
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175489363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner