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

Kellie O'Connell Sallis, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1669726386

Kellie O'Connell Sallis, ACNP-BC is an Acute Care Nurse Practitioner in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1423 W Baddour Pkwy
Lebanon, TN 37087-3061
Phone: (615) 257-0900
Fax: (615) 443-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 17137 (TN)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 17137 (TN)

Record details

NPI number1669726386
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 2, 2012
Last updated in NPPESOctober 20, 2014

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