Healthcare Provider Details

I. General information

NPI: 1982771598
Provider Name (Legal Business Name): JORJANNA LEE KELLEY PHARMD, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 S SPRING ST
BURLINGTON NC
27215-5864
US

IV. Provider business mailing address

120 AVENUE OF TREES
ELON NC
27244-9109
US

V. Phone/Fax

Practice location:
  • Phone: 336-228-6337
  • Fax: 336-226-1664
Mailing address:
  • Phone: 336-446-1331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number14918
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number14918
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: