Individual
DR. JALISA BRIANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-1406
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-1406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2025-04096
NC
2084P0800X
Psychiatry Physician
RTL22-0864
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2022
Last updated
03/30/2026
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