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1144897596
JESSICA ELLEN KELLY
TACOMA, WA
NPI
1144897596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA 61185982)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
Mrs. JESSICA ELLEN KELLY ARNP
2420 S STATE ST
TACOMA, WA 98405-2845
Phone number: 253-573-6113
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Mailing Address
Mrs. JESSICA ELLEN KELLY ARNP
7918 SE YOSEMITE
PORT ORCHARD, WA 98367
Phone number: 253-720-7998
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