Individual provider · Type 1 NPI

Kelly Rackham, FNP-C

Family Nurse Practitioner · Vista, CA

NPI number 1801497284 Active

Practice location

1000 Vale Terrace Dr
Vista, CA 92084-5218

Other practice locations

  • 9850 Genesee Ave, La Jolla, CA 92037-1224 · (858) 864-9800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95015717 (CA)

Family Nurse Practitioner: Definition to come...

244 other providers at this address

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About NPI 1801497284

Kelly Rackham, FNP-C's National Provider Identifier is 1801497284, issued on Nov 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vista, CA. The record was last updated on Jan 27, 2023.