Kelley Ann Solosky, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011318 Issued in FL

Practice address

9889 Gate Pkwy N Ste 303
Jacksonville, FL 32246-9230

Phone

(904) 300-2809

Fax

(888) 496-8341

NPI assigned

Dec 22, 2009

Last updated

May 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Kelley Ann Mahan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sol Renewed Health, LLC

  • Primary Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1558187732
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1417286436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 STATELY SHOALS TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815049",
            "telephone_number": "302-893-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469230",
            "telephone_number": "904-300-2809",
            "fax_number": "888-496-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOSKY",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011318",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN542909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "MAHAN",
            "middle_name": "ANN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruby Gravrok Sollee, MD
• Elizabeth Solley
• Shanaya Solomon
• Laura June Solon Baker, M.D.
• Tatyana Solonskyi, ARNP
• Callie Leigh-Anne Soltero, APRN
• Solutions Counseling
• Solutions Counseling & Recovery Center, Inc.
• Solwave LLC (101 Mobility)
• Carmen Somarriba, PA-C

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.