Individual
JILLIAN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5304
(781) 306-5227
Mailing address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5304
(781) 306-5227
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
275375
MA
Other
Enumeration date
10/06/2010
Last updated
03/27/2021
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