Individual
KELLIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5221 RAVENS GLN, NASHVILLE, TN 37211-8596
(931) 743-3559
(615) 577-3324
Mailing address
1493 ANTHONY WAY, MOUNT JULIET, TN 37122-3558
(931) 743-3559
(615) 577-3324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22357
TN
Other
Enumeration date
03/02/2017
Last updated
11/23/2019
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