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Individual

JOHNNIE MARIE KELSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
7250 SHERIDAN RD, WHITE HALL, AR 71602-3224
(870) 247-2779
(870) 247-2780

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A004776
AR
363LF0000X
Family Nurse Practitioner
Primary
A004776
AR

Other

Enumeration date
08/24/2016
Last updated
05/01/2020
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