KELLY NICOLE SLY


Address: 3444 Plaza Ave, Memphis, TN 38111-4614
Phone: 9017304204

KELLY NICOLE SLY (NPI# 1023498045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023498045
Entity Type Individual
Full Name KELLY NICOLE SLY
Other Name KELLY NICOLE DUCKWORTH
Credential FNP
Practice Address 3444 Plaza Ave
Memphis
TN 38111-4614
Mailing Address 2620 Elm Hill Pike
Nashville
TN 37214-3108
Practice Telephone 9017304204
Mailing Telephone 6154254200
Enumeration Date 2015-06-04
Last Update Date 2016-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A004410 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3444 PLAZA AVE
City MEMPHIS
State TN
Zip Code 38111-4614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063446706 Kroger Limited Partnership I Pharmacy 3444 Plaza Ave, Memphis, TN 38111-4614 2006-07-10
1205454931 Matthew Adam Harmon Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2020-07-09
1225676885 Karen Hohman Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2019-12-13
1538679295 Ashley Nicole Hall Physician Assistant 3444 Plaza Ave, Memphis, TN 38111-4614 2017-10-09
1770935967 Keri Yates Nurse Practitioner 3444 Plaza Ave, Memphis, TN 38111-4614 2016-07-12
1578946141 Lindsey Cardosi Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2015-07-01
1730428715 Kelly Diane Medling Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2013-02-11
1093054181 Adam C Thompson Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2013-02-08
1285917005 Claudia W Mabry Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2011-09-28
1902194327 Sondra Cecile Tashie Pharmacist 3444 Plaza Ave, Memphis, TN 38111-4614 2011-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982168035 Meghan Weakley Pace Occupational Therapist 177 North Highlanld Ave, Memphis, TN 38111 2019-01-23
1386130466 Christopher Cory Wilbanks Nurse Practitioner 3445 Poplar Ave Ste 18, Memphis, TN 38111 2018-07-02
1124523287 Hands of Health and Rehab Clinic/Center 80 N. Tillman St. Ste. 104, Memphis, TN 38111 2018-03-29
1659889889 Jarod Lenahan Specialist/Technologist 1115 East Getwell Loop St, Memphis, TN 38111 2018-01-22
1831645100 Bobby Winbush Residential Treatment Facility, Emotionally Disturbed Children 1167 Parkland Rd, Memphis, TN 38111 2016-08-28
1356797427 Shilo Satran Counselor 208 Waynoka Lane, Memphis, TN 38111 2016-05-09
1346580552 Bianca Branch Psychologist 4166 W Bufford Ellington Dr, Memphis, TN 38111 2013-02-25
1043563935 Midsouth Vision Center Optometrist 3314 Poplar Ave Ste#1, Memphis, TN 38111 2012-10-17
1235407750 Demetria Nicole Rogers Pharmacist 3515 Park Avenue, Memphis, TN 38111 2011-12-12
1326335647 Jason Thomas Sasser Nurse Practitioner 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 2011-07-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730787193 Nancy Katherine Ray Nurse Practitioner 4576 Poplar Ave, Memphis, TN 38117-7502 2020-10-16
1245837533 Sandra Dee Garrison Nurse Practitioner 335 Lillian Dr, Memphis, TN 38109-4431 2020-10-08
1972119527 Oneka E Poindexter Nurse Practitioner 86 N Rembert St, Memphis, TN 38104-2766 2020-09-18
1295346260 Jimarie Nelson Nurse Practitioner 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 2020-08-13
1346869187 Tollaria Williams Nurse Practitioner 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 2020-04-12
1497388912 Michelle Denise Jones Nurse Practitioner 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 2020-02-13
1336781657 J Wilson Health LLC Nurse Practitioner 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 2019-10-09
1265081574 Natalie Staten Nurse Practitioner 7651 Shelby Forest Cv, Memphis, TN 38125-2822 2019-09-09
1881247740 Mekeilah Nevaun Johnson Nurse Practitioner 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 2019-07-19
1205488087 Wendy Powell Nurse Practitioner 1407 Union Ave Ste 405, Memphis, TN 38104-3627 2019-07-12
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Competitor

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City MEMPHIS
Zip Code 38111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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