Mrs. Kerri A Gannon, NPC
Nurse Practitioner, Adult Health in Boston, Massachusetts
1245649870- Practice location
- 55 Fruit St, Boston, MA 02114-2696
- Phone
- 617-726-2000
- Fax
- —
- Last updated
- April 7, 2021
Kerri Ann Gannon is a Nurse Practitioner, Adult Health based in Boston, MA. Kerri Ann Gannon practices in Boston, MA and has the professional credentials of NPC. The NPI Number for Kerri Ann Gannon is 1245649870 and holds a License No. RN234873 (MA). The current practice location address for Kerri Ann Gannon is 55 Fruit St, Boston, MA 02114-2696 and can be reached out via phone at 617-726-2000.
Provider Profile Details
- NPI Number
- 1245649870
- Provider Name
- Kerri Ann Gannon
- Credential
- NPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fruit St, Boston, MA 02114-2696
- Phone Number
- 617-726-2000
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Other Names
- -- Kerri Ann Foxon (Former Name)
- Provider Enumeration Date
- August 7, 2014
- Last Update Date
- April 7, 2021
- Certification Date
- April 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2696 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2696
- Phone Number
- 617-726-2000
Provider Business Mailing Address Details
- Address
- 41 Mall RD
Burlington, MA 01805-2696 - City
- Burlington
- State
- MA
- Zip
- 01805-2696
- Phone Number
- 781-744-8000
License Information
- License Number (1)
- RN234873
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
- License Number (2)
- RN234873
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (3)
- RN234873
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kerri A Gannon, NPC?
The NPI number of Mrs. Kerri A Gannon, NPC is 1245649870. It was assigned on August 7, 2014 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kerri A Gannon, NPC?
Mrs. Kerri A Gannon, NPC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN234873.
Where does Mrs. Kerri A Gannon, NPC practice?
The practice location is 55 Fruit St, Boston, MA 02114-2696. The office can be reached at 617-726-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245649870 directly on the NPPES registry website.