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NPI Code Detail

MEDICARE: NANCY KELLEY NP

MEDICARE: NANCY KELLEY NP
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 PractitionerR114777MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689307183
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY KELLEY NP
Provider Business Mailing Address
First Line : PO BOX 791
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-0791
Country : US
Telephone Number : 888-654-8099
Fax Number : 888-873-9399
Provider Business Practice Location Address
First Line : 1125 WEST ST STE 200
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4279
Country : US
Telephone Number : 888-654-8099
Fax Number : 888-873-9399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2022
Last Update Date : 04/06/2023

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Directions to “ NANCY KELLEY NP” Practice Location

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