Individual provider · Type 1 NPI

Vivienne M. Kelley, CNP

Nurse Practitioner · Springfield, OR

NPI number 1306309117 Active

Practice location

3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800

Fax (541) 683-1422

Mailing address

300 S Diamond Ave
Deming, NM 88030-3752

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10026337 (OR)

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 1306309117

Vivienne M. Kelley, CNP's National Provider Identifier is 1306309117, issued on Apr 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, OR. The record was last updated on Aug 29, 2025.