National Provider Identifier

Cheryl Rose Kerner, CRNP

Cheryl Rose Kerner, CRNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 255-6106.

NPI 1841301033Ithaca, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1841301033
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
August 31, 2006
Last Updated
May 20, 2015

Practice Location

  • 110 Ho Plaza
  • Gannett Health Services
  • Ithaca, NY 14853

Phone: (607) 255-6106

Mailing Address

  • 83 S Main St
  • Homer, NY 13077-1626

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1841301033
Entity Type
Individual
Last Name
Kerner
First Name
Cheryl
Middle Name
Rose
Name Prefix
Mrs.
Credential
CRNP
Provider Other Last Name
Marquis
Provider Other First Name
Cheryl
Provider Other Middle Name
Rose
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
CRNP
Provider Other Last Name Type Code
1
Mailing Street Address
83 S Main St
Mailing City
Homer
Mailing State
NY
Mailing ZIP Code
13077-1626
Mailing Country
US
Mailing Phone
(607) 749-2497
Practice Street Address
110 Ho Plaza
Practice Address Line 2
Gannett Health Services
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853
Practice Country
US
Practice Phone
(607) 255-6106
Practice Fax
(607) 254-3503
Enumeration Date
August 31, 2006
Last Updated
May 20, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Family Nurse Practitioner (363LF0000X)