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JERRICA KALLIO FNP-BC, CPNP-PC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1821577479

Individual Registrant:
 JERRICA  KALLIO FNP-BC, CPNP-PC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
909 VERDI WAY  CLARKSTON, GA 30021-1057 US
Tel: 206-455-4128  Fax: --

Contact information for business:
909 VERDI WAY  CLARKSTON, GA 30021-1057 US
Tel: 206-455-4128  Fax: --

Registration Information:
NPI: 1821577479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN262199
N363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN262199

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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