Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAZZOLYNN KHALIYA KELLY DNP
NPI 1659191864
Nurse Practitioner in Springfield, OR

Q: What is Jazzolynn Kelly's NPI number?

The NPI number for Jazzolynn Kelly is 1659191864. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Jazzolynn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jazzolynn Kelly was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since October 14, 2024

1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477(541) 669-9430(541) 669-9450 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Jazzolynn Khaliya Kelly Dnp NPPES

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

DR. JAZZOLYNN KHALIYA KELLY DNP (NPI 1659191864) is an individual nurse practitioner in Springfield, Oregon, licensed in Oregon (10038562) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1659191864

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. JAZZOLYNN KHALIYA KELLYCredential: DNP

Location Address1 HAYDEN BRIDGE WAYSpringfield, OR 97477-1347

Mailing Address1 Hayden Bridge WaySpringfield, OR 97477-1347 · (541) 669-9430 · Fax (541) 669-9450

Phone(541) 669-9430

Fax(541) 669-9450

Sole ProprietorNo

Enumeration DateOctober 14, 2024

Last NPPES UpdateSeptember 27, 2026

NPPES CertifiedSeptember 27, 2026

✔ NPI 1659191864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 10038562✔ Licensed in CO · APN.1001517-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R249163 (MD)

1 HAYDEN BRIDGE WAY, Springfield, OR 97477

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Other Providers at the Same Location NPPES 14

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

JEFFREY R FRANK MD

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