Individual
CECILIA JACQUELINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
328 ANTIOCH PIKE, NASHVILLE, TN 37211-2964
(615) 988-7810
Mailing address
328 ANTIOCH PIKE, NASHVILLE, TN 37211-2964
(159) 887-8106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
38607
TN
Other
Enumeration date
03/01/2019
Last updated
05/06/2025
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