Willimon, Kelli

Willimon, Kelli is an individual health care provider with primary practice located at 5141 Virginia Way , Brentwood TN 37027-7572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willimon, Kelli can be contacted via phone (615) 661-5680.

Contact Information

Primary practice address
5141 Virginia Way Brentwood TN 37027-7572
Phone: (615) 661-5680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2952 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000017752 Tennessee

Profile Details

NPI number 1497790554
LBN Legal business name Willimon, Kelli
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 6th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497790554 NPPES
Tennessee Other 17752 FNP LICENSE
Tennessee Other 2952 FNP LICENSE
Tennessee Other 1497790554 FNP LICENSE
Tennessee Other 195624 FNP LICENSE

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