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Contact Information

KERRY B CARR, FNP
625 E BROADWAY AVE
JACKSON, WY83001-8642
 Phone: 307-739-6195
 Fax: 307-739-7229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KERRY B CARR · (Female)

NPI Number 1285716746
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/20/2006
Last updated 01/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 16888.0735
  • WY Medicaid 121883200
Hospital affiliation(s)
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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