Individual
HILLARY ANNE KELLY-STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
338 E STATE ST, HERKIMER, NY 13350
(315) 619-9700
(315) 619-9701
Mailing address
207 STROUD ST, 338 E STATE STREET HERKIMER NY 13350, CANASTOTA, NY 13032
(315) 619-9700
(315) 619-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
334926
NY
363L00000X
Nurse Practitioner
Primary
F334926
NY
363LF0000X
Family Nurse Practitioner
F334926
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F402440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02837938
—
NY
01
—
F334926F420440
STATE LINCESE
NY
Enumeration date
12/27/2006
Last updated
07/27/2026
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