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Individual
MS. STACEY ANN KELLY
Active
Individual
MS. STACEY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9205289
FL
363LA2100X
Acute Care Nurse Practitioner
APRN9205289
FL
363LF0000X
Family Nurse Practitioner
APRN9205289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01402890
RAILROAD MEDICARE
FL
Enumeration date
12/22/2005
Last updated
09/28/2023
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