Provider Demographics
NPI:1457132458
Name:PILCHER, KELLY MAGILL (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:MAGILL
Last Name:PILCHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6838 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-6509
Mailing Address - Country:US
Mailing Address - Phone:615-476-7851
Mailing Address - Fax:
Practice Address - Street 1:6838 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:SAINT FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-6509
Practice Address - Country:US
Practice Address - Phone:615-476-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA232350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily