Individual
KELLI J RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 875-9412
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2004029919
MO
Other
Enumeration date
08/13/2008
Last updated
03/31/2022
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