Provider Demographics
NPI:1295546885
Name:PANELLA, KELSEY MICHELLE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:KELSEY
Middle Name:MICHELLE
Last Name:PANELLA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HANSOM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2242
Mailing Address - Country:US
Mailing Address - Phone:609-203-7397
Mailing Address - Fax:
Practice Address - Street 1:3 HANSOM DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-2242
Practice Address - Country:US
Practice Address - Phone:609-203-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15206200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily