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NPI Code Detail

MEDICARE: CHELSE BREANN KELLEY FNP

MEDICARE: CHELSE BREANN KELLEY FNP
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
1363L00000XNurse Practitioner41845TN

General Provider Information

NPI Number : 1679417687
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSE BREANN KELLEY FNP
Provider Business Mailing Address
First Line : 674 WOODLAND FOX LN W
Second Line :
City : CORDOVA
State : TN
Zip : 38018-1147
Country : US
Telephone Number : 901-672-9026
Fax Number :
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2026
Last Update Date : 04/18/2026

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Directions to “ CHELSE BREANN KELLEY FNP” Practice Location

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