Individual provider · Type 1 NPI
Serena Lachelle Kelly
Nurse Practitioner · Antioch, CA
Practice location
1960 Mokelumne Dr
Antioch, CA 94531-9139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95026231 (CA) |
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 1356212898
Serena Lachelle Kelly's National Provider Identifier is 1356212898, issued on Sep 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Antioch, CA. The record was last updated on Oct 24, 2025.