Kelley, Nikki Sue

Kelley, Nikki Sue is an individual health care provider with primary practice located at 4724 N Davis Hwy # 100 , Pensacola FL 32503-2339. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kelley, Nikki Sue can be contacted via phone (850) 201-2421.

Contact Information

Primary practice address
4724 N Davis Hwy # 100 Pensacola FL 32503-2339
Phone: (850) 201-2421
Fax: (850) 886-2235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9304805 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9304805 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9304805 Florida

Profile Details

NPI number 1013308097
LBN Legal business name Kelley, Nikki Sue
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated Apr 30th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013308097 NPPES
Florida MEDICAID 014769100

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