Provider Demographics
NPI:1427931989
Name:JEAN-PAUL, KERRISHA TAMARA (FNP)
Entity type:Individual
Prefix:MRS
First Name:KERRISHA
Middle Name:TAMARA
Last Name:JEAN-PAUL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4032
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30023-4032
Mailing Address - Country:US
Mailing Address - Phone:917-763-0979
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 4032
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30023-4032
Practice Address - Country:US
Practice Address - Phone:917-763-0979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN299090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily