Individual
JORDANN HAYLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 291-1203
Mailing address
19809 BEVERLY MANOR LN, COUNCIL BLUFFS, IA 51503-5495
(712) 326-1148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P52989
IA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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