Individual
MRS. KELLY JENA MURRAY
Active
Individual
MRS. KELLY JENA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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