Individual provider · Type 1 NPI
Lisa Marie Kelly, APRN
Nurse Practitioner · Monroe, MI
Practice location
10 E Front St Apt B
Monroe, MI 48161-2269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704176148 (MI) |
| Nurse Practitioner Primary | 363L00000X | 9402875 (FL) |
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 1164075453
Lisa Marie Kelly, APRN's National Provider Identifier is 1164075453, issued on Jul 16, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Monroe, MI. The record was last updated on Jul 16, 2019.