Provider Demographics
NPI:1942223680
Name:KELLEY, SABRINA (CRNP)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:
Last Name:KELLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13569 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2847
Mailing Address - Country:US
Mailing Address - Phone:850-238-8563
Mailing Address - Fax:850-238-8564
Practice Address - Street 1:13569 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2847
Practice Address - Country:US
Practice Address - Phone:850-238-8563
Practice Address - Fax:850-238-8564
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024688363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner