Individual
JESSICA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9100
Mailing address
10790 RANCHO BERNARDO RD, MAIL DROP 4S-205, SAN DIEGO, CA 92127-5705
(858) 927-5775
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
743187
CA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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