Whalio Doctors

NPI 1003271073

Shameeka Kelly

Practitioner Licensed Practical Nurse Jackson, TN

Practice location

Address
124 Chester Levee Rd, Jackson, TN 38301-7562
Phone
(731) 343-8684

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 83001 (TN)

Registry record

NPI
1003271073
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Dec 2015
Record last updated
17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.