Individual provider · Type 1 NPI

Kellie Jean Fortner, A.R.N.P.

Family Nurse Practitioner · St. Augustine, FL

NPI number 1306190319 Active

Practice location

400 Health Park Blvd, Ste 300
St. Augustine, FL 32086-5784

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9266139 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1306190319

Kellie Jean Fortner, A.R.N.P.'s National Provider Identifier is 1306190319, issued on Oct 30, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Augustine, FL. The record was last updated on Jun 17, 2013.