Provider Demographics
NPI:1417605882
Name:KAHN, KERRI ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:ANN
Last Name:KAHN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:ANN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1705 ANN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2113
Mailing Address - Country:US
Mailing Address - Phone:615-354-7121
Mailing Address - Fax:
Practice Address - Street 1:1380 N COLLEGE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-1438
Practice Address - Country:US
Practice Address - Phone:910-343-8209
Practice Address - Fax:910-343-8836
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCKAHN-NYRGT363LF0000X
NC5015937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily