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General NPI Number Information
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NPI Number | 1942607759
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Entity Type | Individual
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Provider Name | KELLEY WATKINS APRN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 35 W BROADWAY
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City | DERRY
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State | NH
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Zip | 03038-2375
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Country | US
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Telephone | 603-426-3035
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Fax | 603-404-2482
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Provider Business Mailing Address
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Address Line | 841 CENTRAL ST STE 101
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City | FRANKLIN
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State | NH
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Zip | 03235-2053
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Country | US
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Telephone | 603-934-1464
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Fax | 603-536-4001
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 039552-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 039552-23
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License Number State | NH
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