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Individual

SHELLEY JETTE-KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
950 BROADWAY STE 303, TACOMA, WA 98402-4454
(253) 523-2283
Mailing address
950 BROADWAY STE 303, TACOMA, WA 98402-4454
(253) 523-2283

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61457617
WA

Other

Enumeration date
07/27/2023
Last updated
02/06/2024
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