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

Kelsey B Devault, NP

Individual provider Nurse Practitioner · NPI 1134714090

Kelsey B Devault, NP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2020, 6 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

121 Boone Ridge Dr Ste 1004
Johnson City, TN 37615-4993
Phone: (423) 794-5988
Fax: (423) 232-8583
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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 29146 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 29146 (TN)

Record details

NPI number1134714090
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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