KELLEY MARIE MEADOWS PNP NPI 1730667312

NPI Information

NPI: 1730667312
Provider Name: KELLEY MARIE MEADOWS, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1102 A1A N STE 104
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 287-7000
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Kelley Marie Meadows, PNP is a pediatrics nurse practitioner in Ponte Vedra Beach, FL. Kelley Marie Meadows, PNP NPI is 1730667312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1102 A1A N STE 104
PONTE VEDRA BEACH, FL
ZIP 32082-098
Phone: (904) 287-7000

The enumeration date for this NPI number is 8/5/2018 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	APRN9314673	FLORIDA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	2659524	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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