# KELLY L NEPHEW

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902554306
- **Gender:** F
- **Credential:** DNP, FNP-BC, CME

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 277.003818 | IL | Yes |
| 363LF0000X | Family Nurse Practitioner | A167920 | IA | — |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 02/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F02221107 | AANP | IL |