Individual
KELLY NICOLE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-4750
(907) 729-1831
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-4750
(907) 729-1831
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1118
AK
Other
Enumeration date
12/05/2009
Last updated
01/21/2015
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