person
Tracie R Kelly, APRN
Family Nurse Practitioner in Mendota, Illinois
NPI 1578197513

Tracie R Kelly is a Family Nurse Practitioner based in Mendota, IL and is specialized in Family. Tracie R Kelly practices in Mendota, IL and has the professional credentials of APRN. The NPI Number for Tracie R Kelly is 1578197513 and holds a License No. 209.020815 (Illinois).

The current practice location address for Tracie R Kelly is 1401 E 12Th St, Mendota, IL and can be reached out via phone at 815-539-7461.

Location: 1401 E 12Th St, Mendota, IL, 61342-1846
person
Provider Profile Details
NPI Number
1578197513
Provider Name
Tracie R Kelly
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1401 E 12Th St, Mendota, IL, 61342-1846
Phone Number
815-539-7461
Fax Number
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 E 12Th St
City
State
Zip
61342-9216
Phone Number
815-539-7461
Fax Number
person
Provider Business Mailing Address Details
Address
1401 E 12Th St
City
State
Zip
61342-9216
Phone Number
815-539-7461
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.020815 (Illinois)
Definition
Definition to come...
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