JACQUELINE MARY KELLY PNP NPI 1811651052

NPI Information

NPI: 1811651052
Provider Name: JACQUELINE MARY KELLY, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
12612 CHALLENGER PKWY STE 365
ORLANDO, FL
ZIP 32826
Phone: (407) 306-8441
Get Directions

Jacqueline Mary Kelly, PNP is a pediatrics nurse practitioner in Orlando, FL. Jacqueline Mary Kelly, PNP NPI is 1811651052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12612 CHALLENGER PKWY STE 365
ORLANDO, FL
ZIP 32826-784
Phone: (407) 306-8441

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	381614	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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