Individual provider · Type 1 NPI

Hallie R. Kelly, NP

Nurse Practitioner · Memphis, TN

NPI number 1497204960 Active

Practice location

1265 Union Ave, Dept Of Neurology
Memphis, TN 38104

Fax (901) 516-7395

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X21766 (TN)
Nurse Practitioner Primary 363L00000X21766 (TN)

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 1497204960

Hallie R. Kelly, NP's National Provider Identifier is 1497204960, issued on Sep 26, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Apr 9, 2025.