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Individual
JENNIFER MARILYNN KELLEY
Active
Individual
JENNIFER MARILYNN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95036322
CA
363LA2200X
Adult Health Nurse Practitioner
NP95036322
CA
363LP2300X
Primary Care Nurse Practitioner
NP95036322
CA
Other
Enumeration date
07/15/2025
Last updated
09/04/2025
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