Individual provider · Type 1 NPI

Jasmine Kelly

Licensed Practical Nurse · Elyria, OH

NPI number 1053222125 Active

Practice location

174 Midway Blvd
Elyria, OH 44035-2786

Mailing address

3312 Bosworth Rd
Cleveland, OH 44111-3607

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X183864 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

16 other providers at this address

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About NPI 1053222125

Jasmine Kelly's National Provider Identifier is 1053222125, issued on Sep 16, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Elyria, OH. The record was last updated on Sep 16, 2026.