KELLY DOUGLASS

WILLIAMSPORT, PA
NPI1598198525
Former NameKELLY JAMISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP013049)
Enumeration Date2013-08-13
Last Update Date2013-08-13
Business Address
Mrs. KELLY DOUGLASS CRNP
1705 WARREN AVE SUITE 303
WILLIAMSPORT, PA 17701-2665
Phone number: 570-326-8500
Mailing Address
Mrs. KELLY DOUGLASS CRNP
1201 GRAMPIAN BLVD SUITE 1K
WILLIAMSPORT, PA 17701-1900
Phone number: