TAKEYSHA KELLY FNP-C
NPI 1497508303
Nurse Practitioner - Family in Redlands, CA
Active since April 09, 2024
About Takeysha Kelly Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAKEYSHA KELLY FNP-C (NPI 1497508303) is an individual family provider in Redlands, California, licensed in California (95029714) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1497508303
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAKEYSHA KELLYCredential: FNP-C
Location Address350 TERRACINA BLVDRedlands, CA 92373-4850
Mailing Address13569 Williamson RdRancho Cucamonga, CA 91739-2071 · (909) 240-8629
Phone(909) 335-5000
Sole ProprietorYes
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1497508303 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 CA · 95029714
350 TERRACINA BLVD, Redlands, CA 92373
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.
Pathology (Anatomic Pathology & Clinical Pathology)
350 TERRACINA BLVD
REDLANDS, CA 92373
REDLANDS, CA 92373
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497508303, enumerated as an "individual" on April 09, 2024.
The provider is located at 350 TERRACINA BLVD REDLANDS, CA 92373 and the phone number is (909) 335-5000.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
