Kellie Jean Fortner, A.R.N.P.
NPI #1306190319 in St Augustine, Florida
Provider Information
- NPI Number
- 1306190319
- Entity Type
- Individual
- Name
- Kellie Jean Fortner, A.R.N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- A.R.N.P.
- Enumeration Date
- Oct 30, 2012
- Last Updated
- Jun 17, 2013
Practice Location
- Address
- 400 HEALTH PARK BLVD
- Address 2
- STE 300
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5784
- Phone
- (904) 819-5155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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