Individual
JEREMY ANDERSON KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 287-2842
(334) 287-2846
Mailing address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 287-2846
(334) 287-2846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102441
AL
Other
Enumeration date
08/15/2008
Last updated
10/03/2025
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