Griffin, Kerri Lane

Griffin, Kerri Lane is an sole proprietor health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Griffin, Kerri Lane can be contacted via phone (334) 793-3319.

Contact Information

Primary practice address
207 Haven Dr Dothan AL 36301-2919
Phone: (334) 793-3319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-116377 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-116377 Alabama

Profile Details

NPI number 1861007957
LBN Legal business name Griffin, Kerri Lane
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2020
Last updated Dec 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861007957 NPPES
Alabama Other 1861007957 BLUE CROSS BLUE SHIELD
Alabama Other 1861007957 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 1861007957 BLUE CROSS BLUE SHIELD

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