Individual
KELLY MILLER TRUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1731 WELLS RD STE 120, ORANGE PARK, FL 32073-2322
(904) 376-4910
(904) 390-7547
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9241564
FL
363LF0000X
Family Nurse Practitioner
APRN9241564
FL
363LF0000X
Family Nurse Practitioner
ARNP9241564
FL
Other
Enumeration date
05/02/2011
Last updated
05/15/2023
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