Individual provider · Type 1 NPI
Amy Jo Kelly
Family Nurse Practitioner · Edgewater, FL
NPI number
1922687664
Active
Practice location
1790 Hideaway Ln
Edgewater, FL 32132-2913
Mailing address
110 W 1st St Ste 236
Sanford, FL 32771-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F04210218 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922687664
Amy Jo Kelly's National Provider Identifier is 1922687664, issued on Apr 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edgewater, FL. The record was last updated on Apr 7, 2021.