Individual provider · Type 1 NPI

Nicole Shawntay Kelly, FNP-C

Family Nurse Practitioner · Lewiston, ME

NPI number 1114689817 Active

Practice location

300 Main St
Lewiston, ME 04240-7041

Call (207) 795-0111 Map

Mailing address

18 Laurier St
Lewiston, ME 04240-4106

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	CNP211493 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1114689817

Nicole Shawntay Kelly, FNP-C's National Provider Identifier is 1114689817, issued on Oct 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lewiston, ME. The record was last updated on Oct 10, 2021.