Individual
MRS. JARENA JAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,APRN-BC
Contact information
Practice address
506 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1204
(304) 766-8558
(304) 766-8561
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
41613
WV
Other
Enumeration date
08/23/2006
Last updated
12/27/2021
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