MS. KELLIE DIANNE AZOR AGNP-C NPI 1477378891

NPI Information

  • NPI: 1477378891
  • Provider Name: MS. KELLIE DIANNE AZOR, AGNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 195 WHITE OAK RD STE 400
    DAYTON, TN
    ZIP 37321
  • Phone: (423) 778-5661

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NPI Details

MS. Kellie Dianne Azor, AGNP-C is an adult health nurse practitioner in Dayton, TN with 2 years of experience. MS. Kellie Dianne Azor, AGNP-C NPI is 1477378891. 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:

195 WHITE OAK RD STE 400
DAYTON, TN
ZIP 37321-238
Phone: (423) 778-5661

The NPI 1477378891 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 11/20/2024 and was last updated on 11/20/2024.

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
1363LG0600XNurse PractitionerGerontology37247TENNESSEENo
2363LA2200XNurse PractitionerAdult Health37247TENNESSEEYes

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: 11/21/2025

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