Kellie Pack, NP

NPI #1336542943 in Jasper, Georgia

Provider Information

NPI Number
1336542943
Entity Type
Individual
Name
Kellie Pack, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Sep 27, 2014
Last Updated
Sep 27, 2014

Practice Location

Address
220 J L WHITE DR
Address 2
SUITE 120
City
Jasper
State
Georgia
ZIP Code
30143-4893
Phone
(706) 692-3539

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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