Individual
MS. JENNIFER MICHELLE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
420 NE GLEN OAK AVENUE, SUITE 401, PEORIA, IL 61603
(815) 530-4682
Mailing address
420 NE GLEN OAK AVENUE, SUITE 401, PEORIA, IL 61603
(815) 530-4682
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209.012384
IL
Other
Enumeration date
09/04/2015
Last updated
10/20/2016
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