# MRS. ELISHIA M. KELLEY

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

## Provider details

- **NPI number:** 1790013290
- **Gender:** F
- **Credential:** APN, NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | 209010253 | IL | — |
| 363LN0000X | Neonatal Nurse Practitioner | 4704246715 | MI | Yes |

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 10/14/2016