Provider Demographics
NPI:1790165660
Name:PIPPO, KERI CHRISTINE (FNP- BC)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:CHRISTINE
Last Name:PIPPO
Suffix:
Gender:F
Credentials:FNP- BC
Other - Prefix:MISS
Other - First Name:KERI
Other - Middle Name:CHRISTINE
Other - Last Name:PRATASIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:1 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2104
Practice Address - Country:US
Practice Address - Phone:866-396-9344
Practice Address - Fax:908-830-0920
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00535900363LF0000X, 363L00000X
NYF338217-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily