Individual
TENESHA SHANTA KELLY-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-1314
Mailing address
10 WISTERIA DR APT 3C, FORDS, NJ 08863-1130
(917) 742-8669
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
491143
NY
363LF0000X
Family Nurse Practitioner
F355613-01
NY
Other
Enumeration date
12/10/2024
Last updated
05/08/2026
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