PENNY KELLY

JACKSON, MS
NPI1598191298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R864313)
Enumeration Date2013-09-25
Last Update Date2020-03-26
Business Address
PENNY KELLY APRN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650
Mailing Address
PENNY KELLY APRN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650
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