MRS. JAYME E KELLY APRN BC NPI 1083815450

NPI Information

NPI: 1083815450
Provider Name: MRS. JAYME E KELLY, APRN BC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
416 SUNNYSIDE AVE
AURORA, IN
ZIP 47001
Phone: (859) 468-1780
Get Directions

MRS. Jayme E Kelly, APRN BC is a psychiatric/mental health clinical nurse specialist in Aurora, IN. MRS. Jayme E Kelly, APRN BC NPI is 1083815450. 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:

416 SUNNYSIDE AVE
AURORA, IN
ZIP 47001-526
Phone: (859) 468-1780
Fax: (317) 968-1485

The NPI 1083815450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 3/1/2023.

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	363LF0000X	Nurse Practitioner	Family	APRN.CNP.12313	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP 5095P	KENTUCKY	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	COA.12313.NP	OHIO	No
4	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	832428	NEVADA	No
5	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	71003051A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2846611	MEDICAID	OHIO

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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