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Holly R. Kelly, NP
Nurse Practitioner in South Bend, Indiana
NPI 1750630786

Holly R. Kelly is a Nurse Practitioner based in South Bend, IN. Holly R. Kelly practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Holly R. Kelly is 1750630786 and holds a License No. 71004121A (Indiana).

The current practice location address for Holly R. Kelly is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-237-9231 and via fax at 574-204-6355.

Location: 211 N Eddy St, South Bend, IN, 46617-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750630786
Provider Name
Holly R. Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
211 N Eddy St, South Bend, IN, 46617-2808
Phone Number
574-237-9231
Fax Number
574-204-6355
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201092360 05 IN
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-237-9231
Fax Number
574-204-6355
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-237-9231
Fax Number
574-204-6355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71004121A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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