Individual
MS. KELLY ANN SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2954 LUCILLE LN, MIDDLEBURG, FL 32068-3900
(904) 614-0732
Mailing address
2954 LUCILLE LN, MIDDLEBURG, FL 32068-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9540619
FL
Other
Enumeration date
12/12/2025
Last updated
12/20/2025
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