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General NPI Number Information
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NPI Number | 1477357655
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Entity Type | Individual
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Provider Name | KELSEY FLETCHER
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 3235 N POINT PKWY STE 203
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City | ALPHARETTA
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State | GA
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Zip | 30005-4722
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Country | US
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Telephone | 470-387-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 4069 VININGS MILL TRL SE
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City | SMYRNA
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State | GA
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Zip | 30080-6498
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Country | US
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Telephone | 606-425-8455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN333849
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License Number State | GA
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