Individual provider · Type 1 NPI
Maryalice Kelly, APN
Nurse Practitioner · Fayetteville, AR
Practice location
1125 N College Ave
Fayetteville, AR 72703-1908
Fax (479) 443-3903
Mailing address
PO Box 251420
Little Rock, AR 72225-1420
Other practice locations
- 2422 N Thompson St, Springdale, AR 72764-1757 · (479) 750-6566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A001933 (AR) |
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 1326071283
Maryalice Kelly, APN's National Provider Identifier is 1326071283, issued on Jul 7, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 7, 2023.