Kellee A Etghayi
A.P.R.N. | Nurse Practitioner | 8+ years Exp
145 Innovation Dr, Jackson
Tennessee, 38305-3019
731-422-0213
Kellee A Etghayi is a Jackson, Tennessee based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kellee A Etghayi is 23140 in Tennessee. Her current practice location is 145 Innovation Dr, Jackson. Patients can reach her at 731-422-0213 or can fax her at 731-660-8453. Kellee A Etghayi is A.P.R.N. and her NPI number (Unique professional ID assigned by NPPES) is 1891225116.
Kellee A Etghayi has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kellee A Etghayi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kellee A Etghayi |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | A.P.R.N. |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 145 Innovation Dr, Jackson,
Tennessee, 38305-3019 |
| Phone: | 731-422-0213 |
| Fax: | 731-660-8453 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0042579526 |
| Enrollment ID: | I20180108001584 |
| NPI Number: | 1891225116 |
| NPI Enumeration Date: | 19 Jun, 2017 |
| NPI Last Update On: | 25 Oct, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellee A Etghayi are as mentioned below.
| License Number | Specialization | State | Status | |
| 23140 | | Tennessee | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (440002) | Jackson, TN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kellee A Etghayi is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Jackson Clinic Pa (2668376872) | 182 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kellee A Etghayi
Po Box 400,
Jackson, Tennessee |
| Zip: | 38302-0400 |
| Phone Number: | 731-425-5752 |
| Fax Number: | 731-425-5783 |
Patients can reach Kellee A Etghayi at
145 Innovation Dr, Jackson, Tennessee or can
call to book an appointment on 731-422-0213.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.