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1437697885
ADA KELLY
JACKSON, MS
NPI
1437697885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901802)
Enumeration Date
2017-02-06
Last Update Date
2017-02-06
Business Address
Mrs. ADA KELLY FNP-C
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Mrs. ADA KELLY FNP-C
110 WILDWOOD BLVD
JACKSON, MS 39212-9614
Phone number: 601-291-0342
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