| NPI | 1962041996 |
|---|---|
| Former Name | KELLI LYNN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61161837) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10033306) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-11-15 |