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JENNIFER LYNNE KELLY AGNP
NPI 1356959944
Nurse Practitioner - Gerontology in Columbia, MO

Active since July 20, 2020
2101 CORONA RD STE 102, COLUMBIA, MO 65203(573) 234-1800(573) 234-1799 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2021, Jul 20, 2020 (2 updates tracked since 2020).

About Jennifer Lynne Kelly Agnp NPPES

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

JENNIFER LYNNE KELLY AGNP (NPI 1356959944) is an individual gerontology provider in Columbia, Missouri, licensed in Missouri (2020003607) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1356959944
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER LYNNE KELLYCredential: AGNP
Location Address2101 CORONA RD STE 102Columbia, MO 65203-2582
Mailing Address2101 Corona Rd Ste 102Columbia, MO 65203-2582 · (573) 234-1800
Phone(573) 234-1800
Fax(573) 234-1799
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1356959944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2020003607
Also ListedRegistered NurseTaxonomy 163W00000X · License 2009019364 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2020003607 (MO)
2101 CORONA RD STE 102, Columbia, MO 65203
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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.

MS. LAUREN ANN MISTLER NP-C
Nurse Practitioner
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
SAMANTHA MCFARLAND
Nurse Practitioner
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
DR. JOHN J CASCONE M.D.
Internal Medicine
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
BAMIDELE GANIYU
Nurse Practitioner (Psychiatric/Mental Health)
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
ROBIN L MURPHY FNP
Nurse Practitioner (Family)
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
SCOTT MATTHEW DUDLEY DO
Family Medicine
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
HARRY B. STEVENSON FNP
Nurse Practitioner
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800
TRISHA ANN JANIS NP
Nurse Practitioner
2101 CORONA RD STE 102
COLUMBIA, MO 65203
Boone County (573) 234-1800

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1356959944. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 2101 Corona Rd Ste 102, Columbia, MO 65203. The listed phone number is (573) 234-1800.

What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on May 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.