Individual
KELLY JEAN VRETTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8066 WALNUT RUN RD STE 100, CORDOVA, TN 38018-8842
(901) 219-6515
Mailing address
8066 WALNUT RUN RD STE 100, CORDOVA, TN 38018-8842
(901) 219-6515
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
159207
TN
363LF0000X
Family Nurse Practitioner
Primary
159207
TN
Other
Enumeration date
05/16/2017
Last updated
04/22/2025
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