Individual
KELLY L NEPHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, CME
Contact information
Practice address
444 N WEST VIEW DR, OSCEOLA, IA 50213-8267
(337) 991-9276
Mailing address
PO BOX 3373, ROCK ISLAND, IL 61204-3373
(563) 219-7225
(563) 823-6665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.003818
IL
363LF0000X
Family Nurse Practitioner
A167920
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02221107
AANP
IL
Enumeration date
03/15/2022
Last updated
02/05/2025
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