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

Mrs. Kellie Tannock, APRN

Individual provider Nurse Practitioner · NPI 1891516993

Mrs. Kellie Tannock, APRN is a Nurse Practitioner in Ocala, Florida. Qualified in 2024, 2 years ago. Practices with Fakhoury Medical and Chiropractic Center PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1009 SW 16th Ln
Ocala, FL 34471-1228
Phone: (352) 351-3413
Fax: (352) 629-6667
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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 APRN11035483 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11035483 (FL)

Record details

NPI number1891516993
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 21, 2024
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fakhoury Medical And Chiropractic Center Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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