Individual provider · Type 1 NPI
Jacqueline A. Kelly, NP
Nurse Practitioner · Syracuse, NY
Practice location
750 East Adams Street
Syracuse, NY 13210
Fax (315) 464-4761
Mailing address
251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5010974 (NC) |
| Family Nurse Practitioner | 363LF0000X | 348747 (NY) |
| Nurse Practitioner Primary | 363L00000X | 348747 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1558855296
Jacqueline A. Kelly, NP's National Provider Identifier is 1558855296, issued on Jun 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Mar 14, 2022.