Provider Demographics
NPI:1407247315
Name:KERSHAW-BERRY, VALARIE (FNP,DNP)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:KERSHAW-BERRY
Suffix:
Gender:F
Credentials:FNP,DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 PARK AVE STE 826B
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5223
Mailing Address - Country:US
Mailing Address - Phone:901-519-4680
Mailing Address - Fax:901-417-8914
Practice Address - Street 1:6005 PARK AVE STE 826B
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5223
Practice Address - Country:US
Practice Address - Phone:901-519-4680
Practice Address - Fax:901-417-8914
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019522363LC1500X
MSR879072363LF0000X
TN19522363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health