Kelly M Tripp
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1400 N Us Highway 441 Ste 540
Lady Lake
, Florida 32159-8987
Kelly M Tripp
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1400 N Us Highway 441 Ste 540
Lady Lake
, Florida 32159-8987
(239) 432-8500
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Kelly M Tripp
- 4371 Veronica S Shoemaker Blvd
- Fort Myers, FL
- Zip : 33916-2216
- Phone : (239) 432-8500
Second Address
- Kelly M Tripp
- 1400 N Us Highway 441 Ste 540
- Lady Lake, FL
- Zip : 32159-8987
- Phone : (352) 561-3290
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9496111 | FL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | F1581391 | PA |
National Provider Identifier
| NPI | 1073025466 |
|---|---|
| Provider Name | Kelly M Tripp |
| First Address | Fort Myers, FL 33916-2216 |
| Second Address | Lady Lake, FL 32159-8987 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2017 |
| Last Update Date | 15/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.