Individual provider · Type 1 NPI
Kelly Davis, FNP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1699388496
Active
Practice location
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Mailing address
4107 Rocky Knoll Ct
Fort Wayne, IN 46809-9534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71010315A (IN) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Fort Wayne
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- Marilyn F. Watkins, CFNPFamily Nurse Practitioner Fort Wayne, IN NPI 1023101953
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About NPI 1699388496
Kelly Davis, FNP's National Provider Identifier is 1699388496, issued on Aug 31, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 31, 2020.