person
Mrs. Nicole Shawntay Kelly, FNP-C
Family Nurse Practitioner in Lewiston, Maine
NPI 1114689817

Nicole Shawntay Kelly is a Family Nurse Practitioner based in Lewiston, ME and is specialized in Family. Nicole Shawntay Kelly practices in Lewiston, ME and has the professional credentials of FNP-C. The NPI Number for Nicole Shawntay Kelly is 1114689817 and holds a License No. CNP211493 (Maine).

The current practice location address for Nicole Shawntay Kelly is 300 Main St, Lewiston, ME and can be reached out via phone at 207-795-0111. You can also correspond with Nicole Shawntay Kelly through the mailing address at 18 LAURIER ST, LEWISTON, ME - 04240-4106 (mailing address contact number: 207-332-0522).

Location: 300 Main St, Lewiston, ME, 04240-4106
person
Provider Profile Details
NPI Number
1114689817
Provider Name
Nicole Shawntay Kelly
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
300 Main St, Lewiston, ME, 04240-4106
Phone Number
207-795-0111
Fax Number
Provider Enumeration Date
10/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F09210797 01 ME AANP
institution
Provider Business Practice Location Address Details
Address
300 Main St
City
State
Zip
04240-7041
Phone Number
207-795-0111
Fax Number
person
Provider Business Mailing Address Details
Address
300 Main St
City
State
Zip
04240-7041
Phone Number
207-795-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP211493 (Maine)
Definition
Definition to come...
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