Healthcare Provider Details

I. General information

NPI: 1477533784
Provider Name (Legal Business Name): KELLY A MURPHY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N SYKES CREEK PKWY STE 300
MERRITT ISLAND FL
32953-3488
US

IV. Provider business mailing address

150 N SYKES CREEK PKWY STE 300
MERRITT ISLAND FL
32953-3488
US

V. Phone/Fax

Practice location:
  • Phone: 321-431-8143
  • Fax: 321-454-4026
Mailing address:
  • Phone: 321-431-8143
  • Fax: 321-454-4026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN1657502
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN1657502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: