MRS. KELLIE JO NIESE RN
NPI 1861977084
Registered Nurse - Community Health in Adrian, MI
Active since October 03, 2018
1040 S WINTER ST STE 1022, ADRIAN, MI 49221(517) 263-8905(517) 263-7616 Get Directions Write a Review
About Mrs. Kellie Jo Niese Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLIE JO NIESE RN (NPI 1861977084) is an individual community health provider in Adrian, Michigan, licensed in Michigan (4704250179) and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1861977084
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMRS. KELLIE JO NIESECredential: RN
Location Address1040 S WINTER ST STE 1022Adrian, MI 49221-3867
Mailing Address1040 S Winter St Ste 1022Adrian, MI 49221-3867 · (517) 263-8905 · Fax (517) 263-7616
Phone(517) 263-8905
Fax(517) 263-7616
Sole ProprietorNo
Enumeration DateOctober 3, 2018
✔ NPI 1861977084 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in MI · 4704250179
1040 S WINTER ST STE 1022, Adrian, MI 49221
Other Names 1
Former Name (1)Kellie Jo Reed
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861977084, enumerated as an "individual" on October 03, 2018.
The provider is located at 1040 S WINTER ST STE 1022 ADRIAN, MI 49221 and the phone number is (517) 263-8905.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
