Provider Demographics
NPI:1437827516
Name:ALLEN, KERRI (MSN, APRN-CNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSN, APRN-CNP, FNP-C
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:GAWLIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2930 FOULOIS PASS
Mailing Address - Street 2:
Mailing Address - City:JBSA FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-2557
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 SPURS LN STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1677
Practice Address - Country:US
Practice Address - Phone:832-621-0699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily