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

MS. Kellie Dianne Azor, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1477378891

MS. Kellie Dianne Azor, AGNP-C is a Nurse Practitioner in Dayton, Tennessee. Qualified in 2024, 2 years ago. Practices with Erlanger Health, a 503-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

195 White Oak Rd Ste 400
Dayton, TN 37321-2238
Phone: (423) 778-5661
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 37247 (TN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 37247 (TN)

Record details

NPI number1477378891
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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 Erlanger Health — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount