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NPI Code Detail

MEDICARE: KELSEY BUCK FNP-C

MEDICARE: KELSEY BUCK FNP-C
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 Practitioner38675TN

General Provider Information

NPI Number : 1356138358
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY BUCK FNP-C
Provider Business Mailing Address
First Line : 3500 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3059
Country : US
Telephone Number : 615-758-5672
Fax Number :
Provider Business Practice Location Address
First Line : 3500 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3059
Country : US
Telephone Number : 615-758-5672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2025
Last Update Date : 04/22/2025

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Directions to “ KELSEY BUCK FNP-C” Practice Location

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