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Individual
MRS. JERI KELLETT CHARLES
Active
Individual
MRS. JERI KELLETT CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
68260-3151
LA
363LF0000X
Family Nurse Practitioner
Primary
AP113202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP113202
TX LICENSE
TX
Enumeration date
02/28/2007
Last updated
11/05/2025
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