| Mrs Julie Marie Kelly, MSN, APRN, NP-C | |
|
2525 Charleston Rd Ste 104, Mountain View, CA 94043-1636 | |
| (918) 607-4135 | |
| Not Available |
| Full Name | Mrs Julie Marie Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2525 Charleston Rd Ste 104, Mountain View, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104435999 | NPI | - | NPPES |
| 114460100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R01127657 (Oklahoma) | Primary |
| Entity Name | Prophylaxis Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
| Entity Name | On Demand Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982161386 PECOS PAC ID: 9234565110 Enrollment ID: O20200213000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julie Marie Kelly, MSN, APRN, NP-C 2525 Charleston Rd Ste 104, Mountain View, CA 94043-1636 Ph: (786) 234-7345 | Mrs Julie Marie Kelly, MSN, APRN, NP-C 2525 Charleston Rd Ste 104, Mountain View, CA 94043-1636 Ph: (918) 607-4135 |
Michael A San Juan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Grant Rd, Mountain View, CA 94040 Phone: 805-827-2869 | |
Tricia Benjamin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Stella Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 N Rengstorff Ave, Mountain View, CA 94043 Phone: 800-972-5547 | |
Caitlin Pham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7150 | |
Ms. Susan Ann Tenney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 San Antonio Rd, Mountain View, CA 94040 Phone: 650-948-0807 | |
Shelley Gallivan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1503 Grant Rd Ste 110, Mountain View, CA 94040 Phone: 650-484-1213 | |
Jamie M. Nho, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Joaquin Rd, Mountain View, CA 94043 Phone: 510-402-8829 |