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Dr. Jalisa Brianne Kelly, MD
Student in an Organized Health Care Education/Training Program in Greenville, North Carolina
NPI 1407590722

Jalisa Brianne Kelly is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Jalisa Brianne Kelly practices in Greenville, NC and has the professional credentials of MD. The NPI Number for Jalisa Brianne Kelly is 1407590722 and holds a License No. (North Carolina).

The current practice location address for Jalisa Brianne Kelly is 2100 Stantonsburg Rd, Greenville, NC and can be reached out via phone at 252-744-1406.

Location: 2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407590722
Provider Name
Jalisa Brianne Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Phone Number
252-744-1406
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-1406
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-1406
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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