MRS. JESSICA ELLEN KELLY ARNP - NPI 1144897596 - Nurse Practitioner in Tacoma, WA

Q: What is Jessica Kelly's NPI number?

The NPI number for Jessica Kelly is 1144897596. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Q: What is Jessica Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kelly was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mrs. Jessica Ellen Kelly Arnp NPPES

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

MRS. JESSICA ELLEN KELLY ARNP (NPI 1144897596) is an individual family provider in Tacoma, Washington, licensed in Washington (61185982) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1144897596

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JESSICA ELLEN KELLYCredential: ARNP

Location Address2420 S STATE STTacoma, WA 98405-2845

Mailing Address7918 Se YosemitePort Orchard, WA 98367 · (253) 720-7998

Phone(253) 573-6113

Sole ProprietorNo

Enumeration DateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1144897596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · 61185982

2420 S STATE ST, Tacoma, WA 98405

Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

PAWAN CHAWLA MD

Internal Medicine (Critical Care Medicine)