Healthcare Provider Details

I. General information

NPI: 1659024578
Provider Name (Legal Business Name): KELSI MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N MAIN ST STE 7
CHIEFLAND FL
32626-0866
US

IV. Provider business mailing address

410 N MAIN ST STE &
CHIEFLAND FL
32626-0866
US

V. Phone/Fax

Practice location:
  • Phone: 352-405-5009
  • Fax: 800-949-8404
Mailing address:
  • Phone: 352-405-5009
  • Fax: 800-949-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: