# KELSEY LAUREN ENNIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033724372
- **Gender:** F
- **Credential:** CNM, WHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R0133249 | OK | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 0024180210 | VA | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 03/15/2024