# MRS. KELLI M. BISSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245265859
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9256044 | FL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 24166224 | VA | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 06/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003593100 | — | FL |
| 05 | — | 010188849 | — | VA |
| 01 | — | 7003733 | NC MEDICAID | VA |
| 01 | — | 92535N | OPTIMA HEALTH | VA |
| 01 | — | 96630N | FAMIS OPTIMA FAMILY CARE | VA |