KELLY MILLER TRUMBLE MSN APRN FNP-BC NPI 1467743997

NPI Information

  • NPI: 1467743997
  • Provider Name: KELLY MILLER TRUMBLE, MSN, APRN, FNP-BC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1731 WELLS RD STE 120
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 376-4910

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NPI Details

Kelly Miller Trumble, MSN, APRN, FNP-BC is a nurse practitioner in Orange Park, FL with 15 years of experience. The provider is (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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Kelly Miller Trumble, MSN, APRN, FNP-BC NPI is 1467743997. 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:

1731 WELLS RD STE 120
ORANGE PARK, FL
ZIP 32073-322
Phone: (904) 376-4910
Fax: (904) 390-7547

The NPI 1467743997 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2011 and was last updated on 5/15/2023.

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
1363LF0000XNurse PractitionerFamilyARNP9241564FLORIDANo
2363LF0000XNurse PractitionerFamilyAPRN9241564FLORIDANo
3363L00000XNurse PractitionerAPRN9241564FLORIDAYes

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: 3/30/2025

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