Individual
SHEDREA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(609) 456-9891
Mailing address
865 STONE ST, RAHWAY, NJ 07065-2742
(609) 456-9891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01399200
NJ
Other
Enumeration date
12/07/2022
Last updated
02/20/2023
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