Individual
JESSICA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
(573) 519-4530
Mailing address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
(573) 519-4530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015024620
MO
Other
Enumeration date
09/15/2015
Last updated
03/12/2018
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