Individual provider · Type 1 NPI

Doreen Kellie Carrillo, FNP

Registered Nurse · Stockton, CA

NPI number 1851948046 Active

Practice location

582 E Harding Way
Stockton, CA 95204-6110

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95012375 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1851948046

Doreen Kellie Carrillo, FNP's National Provider Identifier is 1851948046, issued on Aug 22, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 26, 2026.