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Kellie Pack, NP
Family Nurse Practitioner in Jasper, Georgia
NPI 1336542943

Kellie Pack is a Family Nurse Practitioner based in Jasper, GA and is specialized in Family. Kellie Pack practices in Jasper, GA and has the professional credentials of NP. The NPI Number for Kellie Pack is 1336542943 and holds a License No. RN197369 (Georgia).

The current practice location address for Kellie Pack is 220 J L White Dr, Jasper, GA and can be reached out via phone at 706-692-3539.

Location: 220 J L White Dr, Jasper, GA, 30143-4893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336542943
Provider Name
Kellie Pack
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
220 J L White Dr, Jasper, GA, 30143-4893
Phone Number
706-692-3539
Fax Number
Provider Enumeration Date
09/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
220 J L White Dr
City
Jasper
State
Georgia
Zip
30143-4893
Phone Number
706-692-3539
Fax Number
person
Provider Business Mailing Address Details
Address
220 J L White Dr
City
Jasper
State
Georgia
Zip
30143-4893
Phone Number
706-692-3539
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN197369 (Georgia)
Definition
Definition to come...
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