Individual
DR. KELLY WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
17205 NW 254TH DR, HIGH SPRINGS, FL 32643-3026
(229) 546-8858
Mailing address
17205 NW 254TH DR, HIGH SPRINGS, FL 32643-3026
(229) 546-8858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013821
FL
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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