Individual
KELLY N JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2 INDUSTRIAL BLVD STE 200, PAOLI, PA 19301-1648
(610) 647-2400
(610) 647-3902
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(267) 479-4142
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP018764
PA
363LG0600X
Gerontology Nurse Practitioner
SP018764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036726900004
—
PA
Enumeration date
05/09/2018
Last updated
09/21/2021
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