Individual provider · Type 1 NPI

Kellye Lynne Pendergrass, ARNP

Family Nurse Practitioner · Pensacola, FL

NPI number 1992776256 Active

Practice location

6000 W Highway 98
Pensacola, FL 32512-0001

Mailing address

5660 Raughton Rd
Milton, FL 32583-9159

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1804142 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1992776256

Kellye Lynne Pendergrass, ARNP's National Provider Identifier is 1992776256, issued on Jan 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pensacola, FL. The record was last updated on Jul 13, 2026.