Individual provider · Type 1 NPI

Ada Kelly, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1437697885 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Mailing address

110 Wildwood Blvd
Jackson, MS 39212-9614

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X901802 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1437697885

Ada Kelly, FNP-C's National Provider Identifier is 1437697885, issued on Feb 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Feb 6, 2017.