Individual
MRS. KELLI KNIGHT OVERTURF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
(386) 238-9063
Mailing address
2148 WATER PLANT RD, SAINT AUGUSTINE, FL 32092-9203
(904) 307-0103
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11031702
FL
Other
Enumeration date
03/08/2024
Last updated
09/02/2024
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