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NPI Code Detail

MEDICARE: MRS. PATRICIA ANNE KELLEY MSN, APRN, PMHNP-BC

MEDICARE: MRS. PATRICIA ANNE KELLEY MSN, APRN, 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerGAA-NP001307GA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner243203LA

General Provider Information

NPI Number : 1366141863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANNE KELLEY MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 14223 PARKVIEW DR
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-4428
Country : US
Telephone Number : 770-609-9828
Fax Number : 225-922-3788
Provider Business Practice Location Address
First Line : 9229 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-2808
Country : US
Telephone Number : 225-215-7498
Fax Number : 225-922-3788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 01/27/2026

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Directions to “ MRS. PATRICIA ANNE KELLEY MSN, APRN, PMHNP-BC” Practice Location

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