Individual provider · Type 1 NPI

Kelly Holton

Nurse Practitioner · Tampa, FL

NPI number 1760890685 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Fax (813) 449-8225

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Other practice locations

  • 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 · (813) 873-1016

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9310510 (FL)
Nephrology Physician 207RN0300X9310510 (FL)

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 1760890685

Kelly Holton's National Provider Identifier is 1760890685, issued on Jul 23, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 25, 2026.