Individual provider · Type 1 NPI
Tricia Kelly, NURSE PRACTITIONER
Nurse Practitioner · Fort Worth, TX
Practice location
1325 Pennsylvania Avenue Suite 560
Fort Worth, TX 76104
Fax (817) 810-0725
Mailing address
1216 Berkeley Dr
Burleson, TX 76028-8220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 821766 (TX) |
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 1356848899
Tricia Kelly, NURSE PRACTITIONER's National Provider Identifier is 1356848899, issued on Apr 11, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 13, 2023.