Provider Demographics
NPI:1740094481
Name:KERR-WHITE, ALISON (LPN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:KERR-WHITE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 62ND STREET CIR W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-6944
Mailing Address - Country:US
Mailing Address - Phone:941-400-2030
Mailing Address - Fax:
Practice Address - Street 1:3305 62ND STREET CIR W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-6944
Practice Address - Country:US
Practice Address - Phone:941-400-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5164171164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse