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NPI Code Detail

MEDICARE: KELLIE BOND FURLOW APRN FNP-C PMHNP-BC

MEDICARE: KELLIE BOND FURLOW APRN FNP-C PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11005076FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11005076FL

General Provider Information

NPI Number : 1255976106
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE BOND FURLOW APRN FNP-C PMHNP-BC
Provider Business Mailing Address
First Line : 8270 WOODLAND CENTER BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33614-2401
Country : US
Telephone Number : 813-736-5488
Fax Number : 813-706-5499
Provider Business Practice Location Address
First Line : 8270 WOODLAND CENTER BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33614-2401
Country : US
Telephone Number : 813-736-5488
Fax Number : 813-706-5499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2019
Last Update Date : 12/31/2025

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Directions to “ KELLIE BOND FURLOW APRN FNP-C PMHNP-BC” Practice Location

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