Individual
MISS KELLY MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
4500 SALISBURY RD STE 420, JACKSONVILLE, FL 32216-0959
(904) 800-6116
(904) 337-4724
Mailing address
7014 SAN JOSE BLVD, JACKSONVILLE, FL 32217-3422
(904) 904-0690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11014261
FL
Other
Enumeration date
12/18/2017
Last updated
11/13/2023
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