Meadows, Kelley Marie

Meadows, Kelley Marie is an sole proprietor health care provider with primary practice located at 1102 A1A N Ste 104 , Ponte Vedra Beach FL 32082-4098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Meadows, Kelley Marie can be contacted via phone (904) 287-7000.

Contact Information

Primary practice address
1102 A1A N Ste 104 Ponte Vedra Beach FL 32082-4098
Phone: (904) 287-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2659524 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9314673 Florida

Profile Details

NPI number 1730667312
LBN Legal business name Meadows, Kelley Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2018
Last updated Apr 12th, 2021 - about 5 years 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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