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JORDAN CHRISTOPHER KELLY DO
NPI 1093518771
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 28, 2025
1225 N STATE ST, JACKSON, MS 39202(601) 292-4517 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Christopher Kelly Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN CHRISTOPHER KELLY DO (NPI 1093518771) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1093518771
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN CHRISTOPHER KELLYCredential: DO
Location Address1225 N STATE STJackson, MS 39202-2064
Mailing Address1225 N State StJackson, MS 39202-2064
Phone(601) 292-4517
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1093518771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1225 N STATE ST, Jackson, MS 39202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HADEN DAVIS
Registered Nurse
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1044
MRS. ALLISON MITCHELL CCC-SLP
Speech-Language Pathologist
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-5003
STEPHEN PAUL EPPERSON MD
Family Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
DR. RICHARD B FRIEDMAN MD
Radiology (Radiation Oncology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1416
JOHN C BROOKS M.D.
Emergency Medicine (Emergency Medical Services)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 982-6001
KATHRYN B BROWN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-3070
WILLIAM FRANKLIN RAYBURN M.D.
Internal Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
JOSHUA GRICE CAMPBELL MD
Emergency Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Kelly's NPI number?

The NPI number for Jordan Kelly is 1093518771. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Jordan Kelly located?

Jordan Kelly practices at 1225 N State St, Jackson, MS 39202. The listed phone number is (601) 292-4517.

What is Jordan Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Kelly was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.