KELLI WILLIMON FNP
NPI 1497790554
Nurse Practitioner - Family in Mt Juliet, TN

Q: What is Kelli Willimon's NPI number?

The NPI number for Kelli Willimon is 1497790554. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Kelli Willimon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Willimon was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 June 20, 2006

3565 N MOUNT JULIET RD, MT JULIET, TN 37122(615) 773-9623(615) 758-0065 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelli Willimon Fnp NPPES

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

KELLI WILLIMON FNP (NPI 1497790554) is an individual family provider in Mt Juliet, Tennessee, licensed in Tennessee (APN0000017752) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1497790554

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI WILLIMONCredential: FNP

Location Address3565 N MOUNT JULIET RDMt Juliet, TN 37122-3047

Mailing Address5141 Virginia WayBrentwood, TN 37027-7572 · (615) 661-5680

Phone(615) 773-9623

Fax(615) 758-0065

Sole ProprietorNo

Enumeration DateJune 20, 2006

Last NPPES UpdateMarch 26, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1497790554 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

Licenses✔ Licensed in TN · APN0000017752✔ Licensed in SC · 2952

3565 N MOUNT JULIET RD, Mt Juliet, TN 37122

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Other Identifiers 4

Other17752TN · Fnp License

Other2952SC · Fnp License

Other1497790554SC · Npi -personal-

Other195624TN · Rn License

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.

PREMISE HEALTH OF TENNESSEE MEDICAL PC

Clinic/Center (Multi-Specialty)

3565 N MOUNT JULIET RD
MT JULIET, TN 37122

Wilson County (615) 773-9623

GARLINGTON HALLER VENTURES, LLC

Family Medicine

3565 N MOUNT JULIET RD
MT JULIET, TN 37122

Wilson County (615) 773-9623

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 Kelli Willimon's NPI number?

The NPI number for Kelli Willimon is 1497790554. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Kelli Willimon located?

Kelli Willimon practices at 3565 N Mount Juliet Rd, Mt Juliet, TN 37122. The listed phone number is (615) 773-9623.

What is Kelli Willimon'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 Kelli Willimon was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.