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MS. JANE KELLY CRNP

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

Registrant NPI Number: 1164501904

Individual Registrant:
MS. JANE  KELLY CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
867 COUNTY ROAD 59  PINE APPLE, AL 36768-3525 US
Tel: 251-746-2197  Fax: --

Contact information for business:
PO BOX 2213  SELMA, AL 36702-2213 US
Tel: 251-746-2197  Fax: --

Registration Information:
NPI: 1164501904
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1022936

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
630802009AL05




HEALTH CARE JOBS AL - Page 1

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