Individual
JODI MELINDA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.15155
OH
363LP0200X
Pediatric Nurse Practitioner
COA.15155-NP
OH
Other
Enumeration date
10/24/2014
Last updated
05/08/2024
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