JOAN FRANCES KELLEY FNP NPI 1881604585

NPI Information

  • NPI: 1881604585
  • Provider Name: JOAN FRANCES KELLEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1870 BAGNELL DAM BLVD
    LAKE OZARK, MO
    ZIP 65049
  • Phone: (573) 365-2318

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NPI Details

Joan Frances Kelley, FNP is a family nurse practitioner in Lake Ozark, MO. Joan Frances Kelley, FNP NPI is 1881604585. 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:

1870 BAGNELL DAM BLVD
LAKE OZARK, MO
ZIP 65049-658
Phone: (573) 365-2318
Fax: (573) 365-3009

The enumeration date for this NPI number is 8/8/2006 and was last updated on 9/22/2023.

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 PractitionerFamily058696MISSOURIYes

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
1428261952MEDICAIDMISSOURI

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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