JACKLYN C KELLY
NPI 1700449261
Nurse Practitioner - Family in Jamaica, NY
About Jacklyn C Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKLYN C KELLY (NPI 1700449261) is an individual family provider in Jamaica, New York, licensed in New York (344172) and active in the NPI registry since April 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacklyn Kelly's NPI number?
The NPI number for Jacklyn Kelly is 1700449261. It was assigned to this individual provider in the NPPES registry on April 19, 2019.
Where is Jacklyn Kelly located?
Jacklyn Kelly practices at 17543 Hillside Ave, Jamaica, NY 11432. The listed phone number is (646) 397-3343.
What is Jacklyn Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Jacklyn Kelly was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Jacklyn C Kelly · NPI 1700449261
Family physician in Jamaica, New York. Individual provider, active in the CMS NPPES registry since April 19, 2019.
## Identity
- **NPI:** 1700449261 (Entity type: Individual)
- **Enumerated:** April 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344172 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 17543 HILLSIDE AVE, Jamaica, NY 11432-5724
- **Phone:** (646) 397-3343
## Record status
- **NPPES last updated:** April 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1700449261) · Data from the CMS NPPES public registry.