Individual provider · Type 1 NPI
Tajmah I. Kelley, CRNP-BC
Family Nurse Practitioner · Philadelphia, PA
NPI number
1962846501
Active
Practice location
3401 N Broad St, Parkison Pavilion Suite 301
Philadelphia, PA 19140-5103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP012828 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962846501
Tajmah I. Kelley, CRNP-BC's National Provider Identifier is 1962846501, issued on Apr 25, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 25, 2013.