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Individual

NANCY KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1125 WEST ST STE 200, ANNAPOLIS, MD 21401-4279
(888) 654-8099
(888) 873-9399
Mailing address
PO BOX 791, SCOTTSBORO, AL 35768-0791
(888) 654-8099
(888) 873-9399

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R114777
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
814845700
MD
Enumeration date
07/03/2022
Last updated
04/06/2023
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