Individual provider · Type 1 NPI
Kelly Nicely
Nurse Practitioner · Indianapolis, IN
Practice location
1400 N Ritter Ave Ste 410
Indianapolis, IN 46219-3046
Mailing address
6626 E 75th St Ste 500
Indianapolis, IN 46250-2890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28199070A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71007005A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1043751167
Kelly Nicely's National Provider Identifier is 1043751167, issued on Mar 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 27, 2023.