Provider Demographics
NPI:1982771598
Name:KELLEY, JORJANNA LEE (PHARMD, CGP)
Entity Type:Individual
Prefix:DR
First Name:JORJANNA
Middle Name:LEE
Last Name:KELLEY
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 AVENUE OF TREES
Mailing Address - Street 2:
Mailing Address - City:ELON
Mailing Address - State:NC
Mailing Address - Zip Code:27244-9109
Mailing Address - Country:US
Mailing Address - Phone:336-446-1331
Mailing Address - Fax:
Practice Address - Street 1:447 S SPRING ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5864
Practice Address - Country:US
Practice Address - Phone:336-228-6337
Practice Address - Fax:336-226-1664
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC149181835G0303X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy