KELLIE O'CONNELL SALLIS

LEBANON, TN
NPI1669726386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  17137)
Additional Taxonomies363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: TN  17137)
Enumeration Date2012-11-02
Last Update Date2014-10-20
Business Address
-- KELLIE O'CONNELL SALLIS ACNP-BC
1423 W BADDOUR PKWY
LEBANON, TN 37087-3061
Phone number: 615-257-0900
Mailing Address
-- KELLIE O'CONNELL SALLIS ACNP-BC
PO BOX 1165
LEBANON, TN 37088-1165
Phone number: 615-257-0900