JAZZOLYNN KHALIYA KELLY DNP, CRNP, FNP-BC
NPI 1659191864
Nurse Practitioner - Family in Baltimore, MD
Active since October 14, 2024
About Jazzolynn Khaliya Kelly Dnp, Crnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAZZOLYNN KHALIYA KELLY DNP, CRNP, FNP-BC (NPI 1659191864) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R249163) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1659191864
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAZZOLYNN KHALIYA KELLYCredential: DNP, CRNP, FNP-BC
Location Address1753 CLARKSON STBaltimore, MD 21230-4809
Mailing Address1753 Clarkson StBaltimore, MD 21230-4809 · (323) 253-5368
Phone(323) 253-5368
Sole ProprietorNo
Enumeration DateOctober 14, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1659191864 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 MD · R249163
1753 CLARKSON ST, Baltimore, MD 21230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659191864, enumerated as an "individual" on October 14, 2024.
The provider is located at 1753 CLARKSON ST BALTIMORE, MD 21230 and the phone number is (323) 253-5368.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
