KELLIE PACK, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1336542943
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | RN197369 (GA) |
Frequently Asked Questions
NPI 1336542943 is the National Provider Identifier for KELLIE PACK, NP, a Nurse Practitioner - Family provider located in Jasper, GA. This NPI was enumerated on September 27, 2014.
KELLIE PACK, NP practices at 220 J L WHITE DR, SUITE 120, Jasper, GA 30143.
Quick Facts
- NPI
- 1336542943
- Type
- Individual
- Enumerated
- Sep 27, 2014
- Last Updated
- Sep 27, 2014
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