Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAVEN KELLY MSN, APRN, AGPCNP-C
NPI 1295648053
Nurse Practitioner - Adult Health in Tallahassee, FL

Q: What is Raven Kelly's NPI number?

The NPI number for Raven Kelly is 1295648053. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Q: What is Raven Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Raven Kelly was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since September 23, 2026

2473 CARE DR STE 102, TALLAHASSEE, FL 32308(850) 431-5001 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Raven Kelly Msn, Aprn, Agpcnp-c NPPES

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

RAVEN KELLY MSN, APRN, AGPCNP-C (NPI 1295648053) is an individual adult health provider in Tallahassee, Florida, licensed in Florida (APRN11048513) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1295648053

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameRAVEN KELLYCredential: MSN, APRN, AGPCNP-C

Location Address2473 CARE DR STE 102Tallahassee, FL 32308-9815

Mailing Address2473 Care Dr Ste 102Tallahassee, FL 32308-9815 · (850) 431-5001

Phone(850) 431-5001

Sole ProprietorNo

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1295648053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11048513

2473 CARE DR STE 102, Tallahassee, FL 32308

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALINDA FOLKERT APRN

Nurse Practitioner (Family)

2473 CARE DR STE 102
TALLAHASSEE, FL 32308

Leon County (850) 431-5001

DR. TIFFANY LYNN EISENBACH MD

Psychiatry & Neurology (Neurology)

2473 CARE DR STE 102
TALLAHASSEE, FL 32308

Leon County (850) 431-5001

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 Raven Kelly's NPI number?

The NPI number for Raven Kelly is 1295648053. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Raven Kelly located?

Raven Kelly practices at 2473 Care Dr Ste 102, Tallahassee, FL 32308. The listed phone number is (850) 431-5001.

What is Raven Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Raven Kelly was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.