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

Kelly L Marshall, FNP

Individual provider Family Nurse Practitioner · NPI 1093283483

Kelly L Marshall, FNP is a Nurse Practitioner in Prescott, Arizona. Qualified in 2018, 8 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

300 N Lee Blvd
Prescott, AZ 86301-5710
Phone: (928) 708-4300
Fax: (928) 458-2122
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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 219517 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F101814346 (AZ)

Record details

NPI number1093283483
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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