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Individual
MARY JO KELLY
Active
Individual
MARY JO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, ACNS-BC
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
AP60676450
WA
364SA2200X
Adult Health Clinical Nurse Specialist
AP60676450
WA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
AP60676450
WA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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