WILLIE FAYE KELLY


Address: 951 Court Ave, Memphis, TN 38103-2813
Phone: 9015779400

WILLIE FAYE KELLY (NPI# 1447859053) 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) 1447859053
Entity Type Individual
Full Name WILLIE FAYE KELLY
Credential NP
Practice Address 951 Court Ave
Memphis
TN 38103-2813
Mailing Address 2220 Union Ave
Memphis
TN 38104-4315
Practice Telephone 9015779400
Mailing Telephone 9015673554
Mailing Fax Number 9015673559
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
PENDING TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 951 COURT AVE
City MEMPHIS
State TN
Zip Code 38103-2813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457435893 State of Tennessee State F & A Payroll Psychiatric Hospital 951 Court Ave, Memphis, TN 38103-2813 2006-10-24
1679103089 Geneva Edwards Dunlap Counselor 951 Court Ave, Memphis, TN 38103-2813 2020-01-24
1992349567 Marianne Briggs Family Medicine 951 Court Ave, Memphis, TN 38103-2813 2019-11-06
1992346498 Emily Phipps Registered Nurse 951 Court Ave, Memphis, TN 38103-2813 2019-10-05
1225685142 Allyson D Stewart Nurse Practitioner 951 Court Ave, Memphis, TN 38103-2813 2019-08-26
1366906604 Renesa Marie Clemons Social Worker 951 Court Ave, Memphis, TN 38103-2813 2019-01-30
1760975817 Michael E Sims Counselor 951 Court Ave, Memphis, TN 38103-2813 2018-06-13
1912401415 Vakendall V Long Social Worker 951 Court Ave, Memphis, TN 38103-2813 2018-03-20
1356851182 James David Johnson Counselor 951 Court Ave, Memphis, TN 38103-2813 2017-10-06
1508376393 James Leroy Longmire II Nurse Practitioner 951 Court Ave, Memphis, TN 38103-2813 2017-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
Find all providers in zip 38103

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265049977 Toya Owens Nurse Practitioner 2565 Mackinnon Dr, Memphis, TN 38119-7903 2020-09-26
1679197974 Billi-jo Fulton Nurse Practitioner 6932 Guyder Rd, Memphis, NY 13112-8711 2020-06-02
1417518077 Raghib Dennis Nurse Practitioner 1518 Arbor View Ct Apt 206, Memphis, TN 38134-8859 2019-06-25
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1407115579 Allyson Brooke Williams Nurse Practitioner 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 2012-05-10
1497883607 Gerome Alonzo Grivas Nurse Practitioner 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 2007-03-01
1831172444 Len N. Getz Nurse Practitioner 708 S Mendenhall Rd, Memphis, TN 38117-5213 2005-11-29
1326046707 Angela C Hammond Nurse Practitioner 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 2005-07-11
1225643018 Melanie Warren Nurse Practitioner 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-09-09
1023640661 Journey 2 Health, LLC Nurse Practitioner 5220 Park Ave, Memphis, TN 38119-3540 2020-02-11
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38103

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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