Provider Demographics
NPI:1376773408
Name:KERR, COURTNEY MICHELE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MICHELE
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 1:6041 SW 54TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5521
Mailing Address - Country:US
Mailing Address - Phone:352-857-8417
Mailing Address - Fax:352-877-2083
Practice Address - Street 1:6041 SW 54TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5521
Practice Address - Country:US
Practice Address - Phone:352-857-8417
Practice Address - Fax:352-877-2083
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9218911363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCN570Z - PASCOMedicare PIN
FLCN570Y - TAMPAMedicare PIN