person
Kellie Jean Fortner, ARNP
Family Nurse Practitioner in St Augustine, Florida
NPI 1306190319

Kellie Jean Fortner is a Family Nurse Practitioner based in St Augustine, FL and is specialized in Family. Kellie Jean Fortner practices in St Augustine, FL and has the professional credentials of ARNP. The NPI Number for Kellie Jean Fortner is 1306190319 and holds a License No. ARNP9266139 (Florida).

The current practice location address for Kellie Jean Fortner is 400 Health Park Blvd, St Augustine, FL and can be reached out via phone at 904-819-5155.

Location: 400 Health Park Blvd, St Augustine, FL, 32086-5784
person
Provider Profile Details
NPI Number
1306190319
Provider Name
Kellie Jean Fortner
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
400 Health Park Blvd, St Augustine, FL, 32086-5784
Phone Number
904-819-5155
Fax Number
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01160791 01 FL RAILROAD
008049800 05 FL
Y0F42 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
400 Health Park Blvd
City
State
Zip
32086-5784
Phone Number
904-819-5155
Fax Number
person
Provider Business Mailing Address Details
Address
400 Health Park Blvd
City
State
Zip
32086-5784
Phone Number
904-819-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP9266139 (Florida)
Definition
Definition to come...
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