Individual
MADELEINE RAE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
103 SE 3RD ST, TRENTON, FL 32693-3247
(352) 577-5252
Mailing address
459 SE HERNANDO AVE, LAKE CITY, FL 32025-5977
(352) 356-3037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11021350
FL
Other
Enumeration date
08/10/2022
Last updated
08/21/2023
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