Kellyjean Free , LPN
Licensed Practical Nurse • Bunnell, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellyjean Free has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kellyjean Free, LPN was a registered Licensed Practical Nurse practicing in Bunnell, FL. Throughout an active medical career spanning 7 years, Kellyjean Free provided care at the practice location at 3701 E MOODY BLVD LOT 13 until profile deactivation on 2024-07-03.
Practice Location & Contact Primary Location
3701 E Moody Blvd Lot 13
Bunnell, FL 321106318
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Bunnell, FL
Practicing in Bunnell, FL (1995 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 03, 2024
NPI status registered as active in NPPES database
Registered at 3701 E MOODY BLVD LOT 13, BUNNELL, FL 321106318 (Tel: 3864441989)
Registered at 3701 E MOODY BLVD LOT 13, BUNNELL, FL 321106318 (Tel: 3864441989)
Recorded as KELLYJEAN FREE, LPN
Licensed Practical Nurse (License #PN5231965 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3701 E Moody Blvd Lot 13
Bunnell, FL 321106318
Phone: 3864441989
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