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1649753898
JILLIAN KELLY
ITHACA, NY
NPI
1649753898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 343518)
Enumeration Date
2018-09-13
Last Update Date
2020-09-14
Business Address
JILLIAN KELLY FNP
905 HANSHAW RD STE C
ITHACA, NY 14850-1549
Phone number: 607-277-2170
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Mailing Address
JILLIAN KELLY FNP
1301 TRUMANSBURG RD STE B
ITHACA, NY 14850-1397
Phone number: 607-882-0010
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