Provider Demographics
NPI:1881387793
Name:KESLER, ADELLE LUCRECIA (FNP-C)
Entity type:Individual
Prefix:
First Name:ADELLE
Middle Name:LUCRECIA
Last Name:KESLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ADELLE
Other - Middle Name:LUCRECIA
Other - Last Name:KESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7575 PARAGON RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5316
Mailing Address - Country:US
Mailing Address - Phone:937-604-1269
Mailing Address - Fax:
Practice Address - Street 1:7575 PARAGON RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-5316
Practice Address - Country:US
Practice Address - Phone:937-604-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily