Kelley, Nancy J

Kelley, Nancy J is an individual health care provider with primary practice located at 36000 Euclid Ave , Willoughby OH 44094-4625. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelley, Nancy J can be contacted via phone (440) 953-9600.

Contact Information

Primary practice address
36000 Euclid Ave Willoughby OH 44094-4625
Phone: (440) 953-9600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN179095 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 08603-NP Ohio

Profile Details

NPI number 1396839866
LBN Legal business name Kelley, Nancy J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Nov 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396839866 NPPES
Ohio MEDICAID 2647283

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