Individual provider · Type 1 NPI

Amy Jo Kelly, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1336463785 Active

Practice location

100 Michigan St NE # MC027
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704246088 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1336463785

Amy Jo Kelly, NP's National Provider Identifier is 1336463785, issued on Mar 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 8, 2026.