Provider Demographics
NPI:1467789495
Name:USSERY, KELLY F (NP)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:F
Last Name:USSERY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10140 CENTURION PKWY N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0532
Mailing Address - Country:US
Mailing Address - Phone:904-697-4127
Mailing Address - Fax:904-697-5102
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-0442
Practice Address - Fax:804-827-0941
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2019-01-31
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Provider Licenses
StateLicense IDTaxonomies
VA0024170974363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics