Individual
MS. KELLEY JO FARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(833) 672-8767
(800) 967-9562
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(833) 672-8767
(800) 967-9562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R734048
MS
363LF0000X
Family Nurse Practitioner
R734048
MS
363LF0000X
Family Nurse Practitioner
Primary
RN208617
GA
Other
Enumeration date
10/06/2006
Last updated
09/11/2024
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