Individual provider · Type 1 NPI

Kelly Shouse, FNP-C

Family Nurse Practitioner · Modesto, CA

NPI number 1619706041 Active

About NPI 1619706041

Kelly Shouse, FNP-C's National Provider Identifier is 1619706041, issued on Aug 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Aug 28, 2026.