Individual
MARY JO ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054-1149
(856) 482-9000
(856) 482-1159
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00669700
NJ
Other
Enumeration date
11/16/2016
Last updated
04/17/2026
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