Individual provider · Type 1 NPI

Jacqueline Rita Kelly, CRNP

Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1366203036 Active

Practice location

737 W Lombard St
Baltimore, MD 21201-1009

Fax (410) 706-5770

Mailing address

140 Marie Cir
Aston, PA 19014-2268

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR236041 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366203036

Jacqueline Rita Kelly, CRNP's National Provider Identifier is 1366203036, issued on Jan 19, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jan 19, 2024.