Individual
MRS. KELSEY SALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
4004 MASSARD RD, FORT SMITH, AR 72903-6222
(479) 434-4747
Mailing address
4004 MASSARD RD, FORT SMITH, AR 72903-6222
(479) 434-4747
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
0000210240
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
125904
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
21946
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025784
—
TN
Enumeration date
10/10/2016
Last updated
07/23/2021
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