person
Penny Kelly, APRN
Acute Care Nurse Practitioner in Jackson, Mississippi
NPI 1598191298

Penny Kelly is an Acute Care Nurse Practitioner based in Jackson, MS and is specialized in Acute Care. Penny Kelly practices in Jackson, MS and has the professional credentials of APRN. The NPI Number for Penny Kelly is 1598191298 and holds a License No. R864313 (Mississippi).

The current practice location address for Penny Kelly is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5650 and via fax at 601-984-5658.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1598191298
Provider Name
Penny Kelly
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-5650
Fax Number
601-984-5658
Provider Enumeration Date
09/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05824748 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5650
Fax Number
601-984-5658
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5650
Fax Number
601-984-5658
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R864313 (Mississippi)
Definition
Definition to come...
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