Individual
HEIDI LEA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, MPH, RN
Contact information
Practice address
1300 E 23RD ST, CHATTANOOGA, TN 37404-5701
(423) 760-4000
Mailing address
1300 E 23RD ST, CHATTANOOGA, TN 37404-5701
(423) 760-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001256235
VA
163W00000X
Registered Nurse
233514
TN
163W00000X
Registered Nurse
26NR17016400
NJ
163W00000X
Registered Nurse
671570
NY
363LF0000X
Family Nurse Practitioner
Primary
0024172403
VA
363LF0000X
Family Nurse Practitioner
24989
TN
Other
Enumeration date
06/03/2014
Last updated
12/09/2020
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