Individual provider · Type 1 NPI

Matthew A. Kelly

Registered Nurse · Jackson, TN

NPI number 1407766769 Active

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X277079 (TN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1407766769

Matthew A. Kelly's National Provider Identifier is 1407766769, issued on Sep 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jackson, TN. The record was last updated on Sep 9, 2026.