Healthcare Provider Details

I. General information

NPI: 1295484087
Provider Name (Legal Business Name): KELSEY BILBREY MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 12/29/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 RIVERSIDE DRIVE SUITE 460
FRANKLIN TN
37064-9000
US

IV. Provider business mailing address

381 RIVERSIDE DRIVE SUITE 460
FRANKLIN TN
37064-9000
US

V. Phone/Fax

Practice location:
  • Phone: 615-224-9800
  • Fax: 615-224-9840
Mailing address:
  • Phone: 615-224-9800
  • Fax: 615-224-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000242403
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number35250
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: