Provider Demographics
NPI:1568856730
Name:LEE, KELLY MONICA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:MONICA
Last Name:LEE
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 HILL CT
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-5513
Mailing Address - Country:US
Mailing Address - Phone:940-331-1393
Mailing Address - Fax:844-708-1252
Practice Address - Street 1:6815 HILL CT
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-5513
Practice Address - Country:US
Practice Address - Phone:940-331-1393
Practice Address - Fax:844-708-1252
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily