Individual
KELLY PULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2017 SOUTH COLLEGE ST, TRENTON, TN 38382
(731) 222-5000
Mailing address
79 HIGHWAY 51 SOUTH, RIPLEY, TN 38063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20388
TN
363LP2300X
Primary Care Nurse Practitioner
20388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017588
—
TN
Enumeration date
08/25/2015
Last updated
08/09/2021
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