Individual provider · Type 1 NPI

Mary Margaret Kelly, NP

Nurse Practitioner · Jacksonville, FL

NPI number 1902992498 Active

Practice location

4720 Salisbury Rd
Jacksonville, FL 32256-6101

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 1735 E Hwy 50 Ste B, Clermont, FL 34711-5189 · (352) 241-0549

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11018208 (FL)

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 1902992498

Mary Margaret Kelly, NP's National Provider Identifier is 1902992498, issued on Oct 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 22, 2026.