Provider Demographics
NPI:1932492725
Name:KERR, DEBRA KAREN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:KAREN
Last Name:KERR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 740177
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-0177
Mailing Address - Country:US
Mailing Address - Phone:561-436-8337
Mailing Address - Fax:
Practice Address - Street 1:2800 S SEACREST BLVD STE 240
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7946
Practice Address - Country:US
Practice Address - Phone:561-732-2900
Practice Address - Fax:561-413-3961
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1188652364SA2200X, 364SE0003X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SE0003XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistEmergency