Provider Demographics
NPI:1396155388
Name:CURNAYN, KELLYANN (DNP, APRN-BC)
Entity type:Individual
Prefix:DR
First Name:KELLYANN
Middle Name:
Last Name:CURNAYN
Suffix:
Gender:F
Credentials:DNP, APRN-BC
Other - Prefix:MS
Other - First Name:KELLYANN
Other - Middle Name:
Other - Last Name:PHILIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN-BC
Mailing Address - Street 1:15151 S US HIGHWAY 441 STE 300
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-4482
Mailing Address - Country:US
Mailing Address - Phone:352-480-4010
Mailing Address - Fax:833-471-3372
Practice Address - Street 1:15151 S US HIGHWAY 441 STE 300
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-4482
Practice Address - Country:US
Practice Address - Phone:407-474-8026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2523392207Q00000X
FLARNP2523392363L00000X
FLARNP 2523392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114676800Medicaid
FL1396155388OtherPERSONAL NPI
FL13854754OtherCAQH
FL110967200Medicaid
FL1013581768OtherPRACTICE NPI