Individual
KELLY LYNN METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1000 CENTRAL ST, EVANSTON, IL 60201-1777
(847) 570-1410
Mailing address
1331 ASHLAND AVE, EVANSTON, IL 60201-4039
(815) 757-5638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026184
IL
363LF0000X
Family Nurse Practitioner
209.026184
IL
363LF0000X
Family Nurse Practitioner
209026184
IL
Other
Enumeration date
11/17/2022
Last updated
05/04/2026
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