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Caron Bowen Kelly, NP
Family Nurse Practitioner in Dacula, Georgia
NPI 1578073912

Caron Bowen Kelly is a Family Nurse Practitioner based in Dacula, GA and is specialized in Family. Caron Bowen Kelly practices in Dacula, GA and has the professional credentials of NP. The NPI Number for Caron Bowen Kelly is 1578073912 and holds a License No. RN218152 (Georgia).

The current practice location address for Caron Bowen Kelly is 3027 Jim Moore Rd, Dacula, GA and can be reached out via phone at 770-339-0129.

Location: 3027 Jim Moore Rd, Dacula, GA, 30019-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578073912
Provider Name
Caron Bowen Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3027 Jim Moore Rd, Dacula, GA, 30019-1144
Phone Number
770-339-0129
Fax Number
Provider Enumeration Date
10/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3027 Jim Moore Rd
City
Dacula
State
Georgia
Zip
30019-1144
Phone Number
770-339-0129
Fax Number
person
Provider Business Mailing Address Details
Address
3027 Jim Moore Rd
City
Dacula
State
Georgia
Zip
30019-1144
Phone Number
770-339-0129
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN218152 (Georgia)
Definition
Definition to come...
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