Individual ProviderAshley Bailes KellyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 Pennsylvania St, Orlando, FL 32806-2937(407) 936-2785PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Bailes Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689002008Provider TypeIndividualFull NameKelly, Ashley BailesCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date10/22/2013Last Updated7/15/2015Contact InformationPractice LocationPractice Address51 Pennsylvania St, Orlando, FL 32806-2937Phone(407) 936-2785FaxUnlisted FaxMailing LocationMailing Address51 Pennsylvania St, Orlando, FL 32806-2937Phone(407) 936-2785FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9279688FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024171300Virginia