Individual
KELLIE JO STURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
133 E 1ST NORTH ST STE 5, SUMMERVILLE, SC 29483-6873
(843) 873-0681
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP9338
—
SC
Enumeration date
07/18/2024
Last updated
04/15/2026
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