Individual
ADRIANNE CRONIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-5929
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R860573
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06631325
—
MS
Enumeration date
05/17/2012
Last updated
09/24/2014
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