MRS. KELLY MICHELLE JACCHIA CPNP NPI 1144334095

NPI Information

  • NPI: 1144334095
  • Provider Name: MRS. KELLY MICHELLE JACCHIA, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 110 N CORNERS PKWY STE 100
    CUMMING, GA
    ZIP 30040
  • Phone: (770) 888-2882

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NPI Details

MRS. Kelly Michelle Jacchia, CPNP is a pediatrics nurse practitioner in Cumming, GA. MRS. Kelly Michelle Jacchia, CPNP NPI is 1144334095. 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:

110 N CORNERS PKWY STE 100
CUMMING, GA
ZIP 30040-077
Phone: (770) 888-2882

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.

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
1363LP0200XNurse PractitionerPediatricsRN138990GEORGIAYes

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: 3/30/2025

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