person
Ms. Kelli Rebecca Porter, WHNP-BC
Women's Health Clinical Nurse Specialist in West Lake Hills, Texas
NPI 1205836624

Kelli Rebecca Porter is a Women's Health Clinical Nurse Specialist based in West Lake Hills, TX and is specialized in Women's Health. Kelli Rebecca Porter practices in West Lake Hills, TX and has the professional credentials of WHNP-BC. The NPI Number for Kelli Rebecca Porter is 1205836624 and holds a License No. NCC ID# JON104317267 (Texas).

The current practice location address for Kelli Rebecca Porter is 5656 Bee Caves Rd Ste B101, West Lake Hills, TX and can be reached out via phone at 512-301-6767 and via fax at 512-301-6776.

Location: 5656 Bee Caves Rd Ste B101, West Lake Hills, TX, 78746-5281
person
Provider Profile Details
NPI Number
1205836624
Provider Name
Kelli Rebecca Porter
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5656 Bee Caves Rd Ste B101, West Lake Hills, TX, 78746-5281
Phone Number
512-301-6767
Fax Number
512-301-6776
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN157053 01 GA WH NURSE PRACTIONER LICEN
1529885 05 LA
80052 01 LA PRESCRIPTIVE AUTHORITY#
P01155808 01 LA MEDICARE RAILROAD PTAN
AP04630 01 LA LA STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE
36958 01 LA CDS LICENSE
5H631DF29 01 LA MEDICARE GROUPT#
institution
Provider Business Practice Location Address Details
Address
5656 Bee Caves Rd Ste B101
City
State
Zip
78746
Phone Number
512-301-6767
Fax Number
512-301-6776
person
Provider Business Mailing Address Details
Address
5656 Bee Caves Rd Ste B101
City
State
Zip
78746
Phone Number
512-301-6767
Fax Number
512-301-6776
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Women's Health
Taxonomy
License No.
NCC ID# JON104317267 (Louisiana)
Definition
Definition to come...
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