DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE A. KELLY, NP

Active

MRS. JACQUELINE A. KELLY, NP is a Nurse Practitioner healthcare provider located in SYRACUSE, New York. NPI 1558855296 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SYRACUSE, NY

Registration Details

NPI Number
1558855296
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2018 (8.1745207346061 yrs)
Last Updated
Mar 14, 2022
Licenses
5010974 (NC)
348747 (NY)
348747 (NY)

Practice Information

Address
750 EAST ADAMS STREET
SYRACUSE, NY, 13210
Browse NY providers · Browse ZIP 13210
Phone
3154645979
Fax
3154644761
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SYRACUSE, NY

Name Credential NPI
TAMMY A MATHEWS NP 1831181338
SUSAN M WAITE N.P. 1548242050
THERESA A MOORE N.P. 1982687158
MARCIA H RYDER N.P. 1164405213
GALE TESTA NP 1447222534
JEANNE E PIETRZAK M.S.N, R.N., N.P 1679547392
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.