Individual provider · Type 1 NPI

Kelly Anne Van Ness

Family Nurse Practitioner · Stony Brook, NY

NPI number 1124621909 Active

Practice location

101 Nicholls Road
Stony Brook, NY 11794-0001

Mailing address

276 Gerritsen Ave
Bayport, NY 11705-2163

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF344679-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124621909

Kelly Anne Van Ness's National Provider Identifier is 1124621909, issued on Nov 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 16, 2020.