Individual provider · Type 1 NPI
Jenna Kelley, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1073229902
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2319232 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1073229902
Jenna Kelley, PNP's National Provider Identifier is 1073229902, issued on Jan 24, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on May 7, 2025.