Individual provider · Type 1 NPI

Stacy Sue Kelley, CNP

Nurse Practitioner · Lewis Center, OH

NPI number 1174802938 Active

Practice location

6515 Pullman Dr
Lewis Center, OH 43035-7380

Call (614) 688-7150 Map

Fax (614) 688-7155

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	APRN.CNP.12521 (OH)
Nurse Practitioner Primary	363L00000X	APRN.CNP.12521 (OH)

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 1174802938

Stacy Sue Kelley, CNP's National Provider Identifier is 1174802938, issued on Aug 11, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewis Center, OH. The record was last updated on Mar 7, 2025.