Individual
MRS. KELLY MELINDA CHEWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
850 E MAIN ST, LAKE BUTLER, FL 32054-1353
(386) 496-1922
(386) 496-2803
Mailing address
25407 N COUNTY ROAD 1491, ALACHUA, FL 32615-3459
(904) 553-9818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154325
GA
363LF0000X
Family Nurse Practitioner
ARNP9247953
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9247953
FL
Other
Enumeration date
11/23/2005
Last updated
01/26/2022
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