Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KELLY TICKLE
Active
Individual
KELLY TICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCNS-BC, PPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN228738
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP228738
GA
364SP0200X
Pediatric Clinical Nurse Specialist
APRN-CNS228738
GA
Other
Enumeration date
01/08/2014
Last updated
10/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up