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Lisa-ann Kelly
Pediatric Nurse Practitioner in Wayne, New Jersey
NPI 1235537580

Lisa-ann Kelly is a Pediatric Nurse Practitioner based in Wayne, NJ and is specialized in Pediatrics. Lisa-ann Kelly practices in Wayne, NJ. The NPI Number for Lisa-ann Kelly is 1235537580 and holds a License No. 26NN09168300 (New Jersey).

The current practice location address for Lisa-ann Kelly is 150 Hinchman Ave, Wayne, NJ and can be reached out via phone at 973-595-6996 and via fax at 973-595-6706.

Location: 150 Hinchman Ave, Wayne, NJ, 07470-2360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235537580
Provider Name
Lisa-ann Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Hinchman Ave, Wayne, NJ, 07470-2360
Phone Number
973-595-6996
Fax Number
973-595-6706
Provider Enumeration Date
12/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7671008 05 NJ
institution
Provider Business Practice Location Address Details
Address
150 Hinchman Ave
City
Wayne
State
New Jersey
Zip
07470-2360
Phone Number
973-595-6996
Fax Number
973-595-6706
person
Provider Business Mailing Address Details
Address
150 Hinchman Ave
City
Wayne
State
New Jersey
Zip
07470-2360
Phone Number
973-595-6996
Fax Number
973-595-6706
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
26NN09168300 (New Jersey)
Definition
Definition to come...
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