Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE MARY KELLY, PNP
ActiveJACQUELINE MARY KELLY, PNP is a Pediatric Nurse Practitioner healthcare provider located in DANVILLE, West Virginia. NPI 1811651052 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · DANVILLE, WV
Registration Details
- NPI Number
- 1811651052
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2021 (4.7672468688903 yrs)
- Last Updated
- Jul 29, 2024
- License
-
381614 (NY)
Practice Information
- Address
-
300 4TH STDANVILLE, WV, 250534632Browse WV providers · Browse ZIP 25053
- Phone
- 3043691230
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.