Individual
MRS. KELLY NEWELL NAZARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
159390
TN
363LF0000X
Family Nurse Practitioner
Primary
15848
TN
363LF0000X
Family Nurse Practitioner
F0311040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15848
MEDICAL LICENSE
TN
Enumeration date
06/02/2011
Last updated
06/12/2025
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