IndividualActive
Amy Kelly
NPI 1922687664 · Family Nurse Practitioner · Edgewater, FL
Provider details
- NPI number
- 1922687664
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- F04210218 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1790 Hideaway Ln
Edgewater, FL 32132-2913
Phone: (386) 689-0586
Approximate (ZIP-level) locationGet directions
Mailing address
110 W 1st St Ste 236
Sanford, FL 32771-1202
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.