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General NPI Number Information
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NPI Number | 1760190979
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Entity Type | Individual
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Provider Name | KELSIE JOY APRN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1900 NEBRASKA AVE STE 9
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City | FORT PIERCE
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State | FL
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Zip | 34950-4837
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Country | US
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Telephone | 772-465-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 5744 SE EDGEWATER CIR
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City | STUART
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State | FL
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Zip | 34997-3501
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Country | US
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Telephone | 561-313-2064
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN285752
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9616534
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11035829
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License Number State | FL
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