Individual
KELLY NICOLE SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3444 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 730-4204
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004410
AR
Other
Enumeration date
06/04/2015
Last updated
04/07/2016
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