Individual provider · Type 1 NPI

Jennifer Lynne Kelly, AGNP

Gerontology Nurse Practitioner · Columbia, MO

NPI number 1356959944 Active

Practice location

2101 Corona Rd Ste 102
Columbia, MO 65203-2582

Fax (573) 234-1799

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2009019364 (MO)
Family Nurse Practitioner 363LF0000X2020003607 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X2020003607 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1356959944

Jennifer Lynne Kelly, AGNP's National Provider Identifier is 1356959944, issued on Jul 20, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, MO. The record was last updated on May 25, 2021.