Individual
LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
185 WHITESPORT DR SW STE 5, HUNTSVILLE, AL 35801-6487
(256) 880-3500
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-127320
AL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1-127320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
01/24/2023
Last updated
09/13/2024
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