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Individual

MRS. KELLY JENA MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
212 HOSPITAL DR, SUITE C, WARNER ROBINS, GA 31088-4207
(478) 922-9281
(478) 929-4518
Mailing address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 327-0438

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN187026
GA
363LA2200X
Adult Health Nurse Practitioner
RN187026
GA
363LF0000X
Family Nurse Practitioner
Primary
RN187026
GA
363LP2300X
Primary Care Nurse Practitioner
RN187026
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003109698
GA
01
RN187026
STATE LICENSE
GA
Enumeration date
04/11/2011
Last updated
11/30/2021
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