Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kelly Marie Anderson, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396251054

Miss. Kelly Marie Anderson, APRN, PMHNP-BC is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2017
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4500 Salisbury Rd Ste 420
Jacksonville, FL 32216-0959
Phone: (904) 800-6116
Fax: (904) 337-4724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11014261 (FL)

Record details

NPI number1396251054
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , PMHNP-BC
Sole proprietorYes
NPI enumeratedDecember 18, 2017
Last updated in NPPESNovember 13, 2023
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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