Individual provider · Type 1 NPI
Mandy Kelly, APRN
Nurse Practitioner · Dallas, TX
Practice location
7777 Forest Ln
Dallas, TX 75230-2571
Mailing address
7777 Forest Ln Ste C840
Dallas, TX 75230-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1214196 (TX) |
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 1801760368
Mandy Kelly, APRN's National Provider Identifier is 1801760368, issued on Sep 30, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 30, 2025.