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Individual

KELLEY MARIE MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1102 A1A N STE 104, PONTE VEDRA BEACH, FL 32082-4098
(904) 287-7000
Mailing address
1102 A1A N STE 104, PONTE VEDRA BEACH, FL 32082-4098
(904) 273-6533

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2659524
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9314673
FL

Other

Enumeration date
08/05/2018
Last updated
04/12/2021
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