Kelli Renee Davis, ACNPC-AG
Individual provider Active NPI Acute Care Nurse Practitioner · Aledo, TX
NPI 1124582911 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1124582911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- AP139609 (TX)
- Practice address
- 703 N FM 1187
Aledo, TX 76008-4338 - Phone
- (325) 518-8492
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP139609 | TX | Yes |
Addresses
Primary practice location
703 N FM 1187
Aledo, TX 76008-4338
Mailing address
5650 Sledge Loop
Fort Worth, TX 76126-5357
Phone (325) 518-8492
Other providers in Aledo, TX
- Roger Ambrous Cyprian
- Ashton Dale
- Mark Richard Dambro
- Lauryn Ashley Davidson
- Karen Elizabeth Davis
- Sarah Davis
- Michael Kyle Dempsey
- Joan Dusk Denton
- Justin Cody Dickey
- Rebecca L Doolittle
All providers in Aledo, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.