Provider Demographics
NPI:1619406592
Name:PILLAR, KERRI ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:ANN
Last Name:PILLAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E AIRLINE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3957
Mailing Address - Country:US
Mailing Address - Phone:361-212-1501
Mailing Address - Fax:361-214-7252
Practice Address - Street 1:303 E AIRLINE RD STE 1
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3957
Practice Address - Country:US
Practice Address - Phone:361-649-3451
Practice Address - Fax:361-214-7252
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134033363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care