Individual
KELLY MISSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2351
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00901900
NJ
363LF0000X
Family Nurse Practitioner
SP010708
PA
Other
Enumeration date
01/29/2010
Last updated
05/01/2019
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