# MARY JO KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659155877
- **Gender:** F
- **Credential:** DNP, ARNP, ACNS-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2100X | Acute Care Clinical Nurse Specialist | AP60676450 | WA | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | AP60676450 | WA | — |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist | AP60676450 | WA | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023