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LISA MARIE KELLY APRN
NPI 1164075453
Nurse Practitioner in Monroe, MI

Active since July 16, 2019
10 E FRONT ST APT B, MONROE, MI 48161(734) 497-9041 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marie Kelly Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE KELLY APRN (NPI 1164075453) is an individual nurse practitioner in Monroe, Michigan, licensed in Florida (9402875) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1164075453
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA MARIE KELLYCredential: APRN
Location Address10 E FRONT ST APT BMonroe, MI 48161-2269
Mailing Address10 E Front St Apt BMonroe, MI 48161-2269 · (734) 497-9041
Phone(734) 497-9041
Sole ProprietorYes
Enumeration DateJuly 16, 2019
✔ NPI 1164075453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in FL · 9402875✔ Licensed in MI · 4704176148
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.
10 E FRONT ST APT B, Monroe, MI 48161
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kelly's NPI number?

The NPI number for Lisa Kelly is 1164075453. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Lisa Kelly located?

Lisa Kelly practices at 10 E Front St Apt B, Monroe, MI 48161. The listed phone number is (734) 497-9041.

What is Lisa Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Kelly was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.