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Kerrick Marie Mathis
Nurse Practitioner in Kendallville, Indiana
NPI 1053084319

Kerrick Marie Mathis is a Nurse Practitioner based in Fort Wayne, IN. Kerrick Marie Mathis practices in Kendallville, IN. The NPI Number for Kerrick Marie Mathis is 1053084319 and holds a License No. 71011565A (Indiana).

The current practice location address for Kerrick Marie Mathis is 412 N Sawyer Rd, Kendallville, IN and can be reached out via phone at 260-347-4900 and via fax at 260-347-4966.

Location: 412 N Sawyer Rd, Kendallville, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053084319
Provider Name
Kerrick Marie Mathis
Credential
Provider Entity Type
Individual
Gender
Female
Address
412 N Sawyer Rd, Kendallville, IN, 46845-1701
Phone Number
260-347-4900
Fax Number
260-347-4966
Provider Enumeration Date
07/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
412 N Sawyer Rd
City
Kendallville
State
Indiana
Zip
46755-2572
Phone Number
260-347-4900
Fax Number
260-347-4966
person
Provider Business Mailing Address Details
Address
412 N Sawyer Rd
City
Kendallville
State
Indiana
Zip
46755-2572
Phone Number
260-347-4900
Fax Number
260-347-4966
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71011565A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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