| NPI | 1265402358 |
|---|---|
| Former Name | JODY FRAME KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN134991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN135991) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN135991) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-03-07 |