Individual provider · Type 1 NPI

Kelli Nicole Broadus, FNP-C

Family Nurse Practitioner · Augusta, GA

NPI number 1306371661 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Mailing address

1330 Royal Oak St
Grovetown, GA 30813-3996

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN216907 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306371661

Kelli Nicole Broadus, FNP-C's National Provider Identifier is 1306371661, issued on Apr 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Augusta, GA. The record was last updated on Apr 25, 2017.