Healthcare Provider Details

I. General information

NPI: 1255177622
Provider Name (Legal Business Name): ALLYSON NICOLE KESLIN DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 PLAZA DR STE 170
FOLSOM CA
95630-4790
US

IV. Provider business mailing address

700 NORFOLK AVE
VIRGINIA BEACH VA
23451-4467
US

V. Phone/Fax

Practice location:
  • Phone: 877-272-5818
  • Fax:
Mailing address:
  • Phone:
  • Fax: 806-451-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024190609
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024190609
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: