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

KELLIE O'CONNELL SALLIS, ACNP-BC

Active

KELLIE O'CONNELL SALLIS, ACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in LEBANON, Tennessee. NPI 1669726386 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · LEBANON, TN

Registration Details

NPI Number
1669726386
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2012 (13.739272278846 yrs)
Last Updated
Oct 20, 2014
Licenses
17137 (TN)
17137 (TN)

Practice Information

Address
1423 W BADDOUR PKWY
LEBANON, TN, 370873061
Browse TN providers · Browse ZIP 37087
Phone
6152570900
Fax
6154431444
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in LEBANON, TN

Name Credential NPI
ANN MARIE BEADLE ACNP 1679574180
WILLARD F GAILBREATH III APN 1932383676
STACY DIANE NINAN A.P.N. 1346418183
BROOKE BUTLER ROBERTSON MSN, AGACNP-BC 1912725086
ERIC WILLIS 1447073077
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.