Kelly, Stacey Ann

Kelly, Stacey Ann is an individual health care provider with primary practice located at 915 W Monroe St Ste 200 , Jacksonville FL 32204-1177. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Stacey Ann can be contacted via phone (904) 384-2240.

Contact Information

Primary practice address
915 W Monroe St Ste 200 Jacksonville FL 32204-1177
Phone: (904) 384-2240
Fax: (904) 486-2314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9205289 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9205289 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9205289 Florida

Profile Details

NPI number 1881671634
LBN Legal business name Kelly, Stacey Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 28th, 2023 - about last year

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 1881671634 NPPES
Florida Other P01402890 RAILROAD MEDICARE

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