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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE KAISER BROCK, NURSE PRACTITIONER

Active Sole Proprietor

KELLIE KAISER BROCK, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in NICEVILLE, Florida. NPI 1104693761 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NICEVILLE, FL

Registration Details

NPI Number
1104693761
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2023 (2.5068072693398 yrs)
Last Updated
Dec 5, 2023
License
11029005 (FL)
Sole Proprietor
Yes

Practice Information

Address
1571 LAKESIDE DR
NICEVILLE, FL, 325784161
Browse FL providers · Browse ZIP 32578
Phone
7135820937
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in NICEVILLE, FL

Name Credential NPI
MELODIE A WOLF ARNP 1497730238
SHERYL FAIN CRNP 1760460042
ALIASON HEATHER MARTIN-OVERTON ARNP 1396829990
MRS. SANDRA SCOTT CRAIG FNP 1922329911
PATRICIA THOMAS ARNP 1831456060
MRS. MISTI D SCHNEIDEWIND NP 1013354547
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.