Female

Kelly Grace CRNP

Family Nurse Practitioner in Hammonton, NJ(View on Map)

Full Name

Kelly Grace CRNP

NPI Number

1083443824

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/30/2024

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

New Jersey
Pennsylvania

License Number

26NJ15144700
SP029843

Contact
Information

Purpose

Mailing
Location

Address

219 N WHITE HORSE PIKE
219 N WHITE HORSE PIKE

City

Hammonton
Hammonton

State

NJ
NJ

Postal Code

08037-1896
08037

Country

US
US

Telephone Number

(609) 652-1000
(609) 652-1000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2024

Provider Address

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