Individual
NIKKI SUE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4724 N DAVIS HWY # 100, PENSACOLA, FL 32503-2339
(850) 201-2421
(850) 886-2235
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9304805
FL
363LF0000X
Family Nurse Practitioner
APRN9304805
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9304805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014769100
—
FL
Enumeration date
02/11/2015
Last updated
04/30/2026
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