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KELLIE JEAN FORTNER A.R.N.P.
NPI 1306190319
Nurse Practitioner - Family in St Augustine, FL

Active since October 30, 2012
400 HEALTH PARK BLVD, STE 300, ST AUGUSTINE, FL 32086(904) 819-5155 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Jean Fortner A.r.n.p. NPPES

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

KELLIE JEAN FORTNER A.R.N.P. (NPI 1306190319) is an individual family provider in St Augustine, Florida, licensed in Florida (ARNP9266139) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1306190319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE JEAN FORTNERCredential: A.R.N.P.
Location Address400 HEALTH PARK BLVD, STE 300St Augustine, FL 32086-5784
Mailing Address400 Health Park Blvd, Ste 300St Augustine, FL 32086-5784
Phone(904) 819-5155
Sole ProprietorNo
Enumeration DateOctober 30, 2012
Last NPPES UpdateJune 17, 2013
✔ NPI 1306190319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9266139
400 HEALTH PARK BLVD, St Augustine, FL 32086
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Other Identifiers 4

OtherP01160791FL · Railroad
Medicaid008049800FL
Medicare PINGY177ZFL
OtherY0F42FL · Bcbs

Other Providers at the Same Location NPPES 20

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

HEATHER LESHANE P.T.
Physical Therapist
400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-4374
MANDANA DAVANI M.D.
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-4398
DAVID S GOINS PA
Physician Assistant
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-4700
TERESA M MAZUR MD
Emergency Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-4700
RIPP A SMITH M.D.
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4398
HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.
Internal Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (615) 377-5658
MR. GARY WAYNE CATER D.O.
Pediatrics (Neonatal-Perinatal Medicine)
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4478
EMILY MCCARTHY
Nurse Anesthetist, Certified Registered
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-5155

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 Kellie Fortner's NPI number?

The NPI number for Kellie Fortner is 1306190319. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Kellie Fortner located?

Kellie Fortner practices at 400 Health Park Blvd Ste 300, St Augustine, FL 32086. The listed phone number is (904) 819-5155.

What is Kellie Fortner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kellie Fortner was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.