Healthcare Provider Details

I. General information

NPI: 1376014514
Provider Name (Legal Business Name): KERRY A. MEYER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DR FL 2
EXETER NH
03833-2128
US

IV. Provider business mailing address

4 ALUMNI DR
EXETER NH
03833-2118
US

V. Phone/Fax

Practice location:
  • Phone: 603-580-7525
  • Fax: 603-580-7542
Mailing address:
  • Phone: 603-580-7525
  • Fax: 603-580-7542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number078781-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number078781-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: