Individual
KELLI WILLIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3565 N MOUNT JULIET RD, MT JULIET, TN 37122-3047
(615) 773-9623
(615) 758-0065
Mailing address
5141 VIRGINIA WAY, BRENTWOOD, TN 37027-7572
(615) 661-5680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2952
SC
363LF0000X
Family Nurse Practitioner
Primary
APN0000017752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497790554
NPI -PERSONAL-
SC
01
—
17752
FNP LICENSE
TN
01
—
195624
RN LICENSE
TN
01
—
2952
FNP LICENSE
SC
Enumeration date
06/20/2006
Last updated
03/26/2026
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