Most Relevant Information
Provider Data
| NPI Number: | 1003652611 |
| Provider Name: | KELLY JASMINE WHITFIELD PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | L8-0010565 |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/05/2024 |
Provider Practice Location
700 MAIN ST
ELLENDALE
DE
199412066
Practice Location Phone/Fax
| Phone: | 3024245660 |
| Fax: |
Provider Mailing Location
115 S KING ST
PO BOX 811
GEORGETOWN
DE
199479998
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |