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Individual
JACQUELYN RAIN KELLY
Active
Individual
JACQUELYN RAIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
1023315
TX
363LF0000X
Family Nurse Practitioner
Primary
1023315
TX
363LF0000X
Family Nurse Practitioner
RN250200
GA
363LP2300X
Primary Care Nurse Practitioner
RN250200
GA
Other
Enumeration date
08/17/2020
Last updated
06/30/2025
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