Individual
MISS BREANNA MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
642 LEDBETTER AVE, MEMPHIS, TN 38109-5135
(901) 315-4930
Mailing address
847 N AVALON ST, MEMPHIS, TN 38107-5005
(901) 315-4930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
287908
TN
163WC0400X
Case Management Registered Nurse
Primary
287908
TN
Other
Enumeration date
11/07/2025
Last updated
04/07/2026
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