Active NPIIndividual provider

Kerry G Dymond, CRNP

Nurse Practitioner in Camden, New Jersey

NPI Number1558766840
Practice location
1 Cooper Plz # D356, Camden, NJ 08103-1461
Fax
569-688-3888
Last updated
November 21, 2024

Kerry Gallagher Dymond is a Nurse Practitioner based in Camden, NJ. Kerry Gallagher Dymond practices in Camden, NJ and has the professional credentials of CRNP. The NPI Number for Kerry Gallagher Dymond is 1558766840 and holds a License No. RN595514 (PA). The current practice location address for Kerry Gallagher Dymond is 1 Cooper Plz # D356, Camden, NJ 08103-1461 and can be reached out via phone at 856-342-2174 and via fax at 569-688-3888.

Provider Profile Details

NPI Number
1558766840
Provider Name
Kerry Gallagher Dymond
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1 Cooper Plz # D356, Camden, NJ 08103-1461
Phone Number
856-342-2174
Fax Number
569-688-3888
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
Kerry Gallagher (Other Name)
Provider Enumeration Date
October 29, 2014
Last Update Date
November 21, 2024
Certification Date
November 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz # D356
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
856-342-2174
Fax Number
569-688-3888
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
856-356-4924

License Information

License Number (1)
RN595514
License State (1)
PA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
SP014453
License State (2)
PA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
26NJ00704000
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kerry G Dymond, CRNP?

The NPI number of Kerry G Dymond, CRNP is 1558766840. It was assigned on October 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Kerry G Dymond, CRNP?

Kerry G Dymond, CRNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in PA under license number RN595514.

Where does Kerry G Dymond, CRNP practice?

The practice location is 1 Cooper Plz # D356, Camden, NJ 08103-1461. The office can be reached at 856-342-2174 (phone) or 569-688-3888 (fax).

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 1558766840 directly on the NPPES registry website.

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