Individual
JESSICA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 427-4723
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95307566
CA
Other
Enumeration date
06/10/2022
Last updated
10/28/2022
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