Individual
MS. ELIZABETH ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
103 RE JENNINGS AVE SE, P.O. DRAWER R, ARLINGTON, GA 39813-8725
(229) 725-4251
(229) 725-2212
Mailing address
55 RE JENNINGS AVE SE, P.O. DRAWER R, ARLINGTON, GA 39813-8722
(229) 725-4272
(229) 725-2199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN050989
GA
363L00000X
Nurse Practitioner
Primary
RN050989
GA
Other
Enumeration date
02/02/2006
Last updated
09/08/2011
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