KERRICK MATHIS

Nurse Practitioner

NPI: 1053084319IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

71011565A(IN)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2021

Contact & Hours

Address: 11055 TWIN CREEKS CV
FORT WAYNE, IN 46845
Phone: (260) 425-6120

Quick Facts

NPI: 1053084319
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 5

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