Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Ann Hathaway, APRN

Individual provider Family Nurse Practitioner · NPI 1639741242

Kelli Ann Hathaway, APRN is a Family Nurse Practitioner in Ponte Vedra, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 87
Ponte Vedra, FL 32004-0087
Phone: (904) 655-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9278296 (FL)

Record details

NPI number1639741242
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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