Individual provider · Type 1 NPI

Kelli Emeline Ivy, APRN, FNP-BC

Family Nurse Practitioner · Tyler, TX

NPI number 1114673951 Active

Practice location

6115 New Copeland Rd Ste 640
Tyler, TX 75703-6368

Call (903) 420-3443 Map

Fax (903) 630-8797

Other practice locations

  • 3415 S Loop 256, Palestine, TX 75801-6981 · (903) 727-2200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1068869 (TX)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Other family nurse practitioner providers in Tyler

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About NPI 1114673951

Kelli Emeline Ivy, APRN, FNP-BC's National Provider Identifier is 1114673951, issued on Mar 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on May 20, 2026.