Individual
MRS. JESSICA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
1318 S MAIN RD, 4A, VINELAND, NJ 08360-6516
(856) 205-9900
Mailing address
1318 S MAIN RD STE 4A, VINELAND, NJ 08360-6516
(856) 205-9900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11206200
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00721800
NJ
363LF0000X
Family Nurse Practitioner
SP017260
PA
Other
Enumeration date
03/29/2017
Last updated
11/10/2020
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