IndividualActive
Kelley Nelligan, RN, MSN, CPNP
NPI 1053430702 · Pediatric Nurse Practitioner · Riverside, RI
Provider details
- NPI number
- 1053430702
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 262959 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone: (401) 432-1325
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Additional practice locations (1)
- 60 Hodges AveGoss 1Taunton, MA 02780-3034Phone: (508) 828-3857
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2018-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.