JORDAN LACEY KELLY

CAPE CORAL, FL
NPI1134847528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  APRN11028253)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  9445555)
Enumeration Date2022-08-22
Last Update Date2023-10-13
Business Address
JORDAN LACEY KELLY CRNA
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990-2668
Phone number: 888-339-8727
Mailing Address
JORDAN LACEY KELLY CRNA
13350 METRO PKWY STE 301
FORT MYERS, FL 33966-4796
Phone number: