LOGAN BOSS-KELLY ARNP NPI 1508682634

NPI Information

  • NPI: 1508682634
  • Provider Name: LOGAN BOSS-KELLY, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 83 W MILLER ST FL 9
    ORLANDO, FL
    ZIP 32806
  • Phone: (321) 841-4931

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NPI Details

Logan Boss-kelly, ARNP is an adult health nurse practitioner in Orlando, FL with 2 years of experience. Logan Boss-kelly, ARNP NPI is 1508682634. 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:

83 W MILLER ST FL 9
ORLANDO, FL
ZIP 32806-031
Phone: (321) 841-4931
Fax: (321) 841-7930

The NPI 1508682634 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 11/22/2024 and was last updated on 9/5/2025.

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
1363L00000XNurse PractitionerAPRN11035631FLORIDANo
2363LA2200XNurse PractitionerAdult HealthAPRN11035631FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1124978700MEDICAIDFLORIDA

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

NPI Synchronization or Removal

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