Individual
MRS. KELSEY M STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1726 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-4411
(904) 278-5644
(904) 278-5659
Mailing address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5575
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9309076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9309076
INSURANCE
FL
Enumeration date
10/19/2010
Last updated
10/25/2010
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