Individual
JERRICKA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
(870) 534-4906
Mailing address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
(870) 534-4906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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