Individual
KELLY SUE ANN PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2101 JACKSON ST STE 8, ANDERSON, IN 46016-4341
(765) 286-7000
(765) 213-2769
Mailing address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008255A
IN
363LP2300X
Primary Care Nurse Practitioner
71008255A
IN
Other
Enumeration date
08/24/2018
Last updated
05/10/2022
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