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AMY JO KELLY
NPI 1922687664
Nurse Practitioner - Family in Edgewater, FL

Active since April 07, 2021
1790 HIDEAWAY LN, EDGEWATER, FL 32132(386) 689-0586 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy Jo Kelly NPPES

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

AMY JO KELLY (NPI 1922687664) is an individual family provider in Edgewater, Florida, licensed in Florida (F04210218) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1922687664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY JO KELLY
Location Address1790 HIDEAWAY LNEdgewater, FL 32132-2913
Mailing Address110 W 1st St Ste 236Sanford, FL 32771-1202
Phone(386) 689-0586
Sole ProprietorYes
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1922687664 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 FL · F04210218
1790 HIDEAWAY LN, Edgewater, FL 32132
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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 Amy Kelly's NPI number?

The NPI number for Amy Kelly is 1922687664. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Amy Kelly located?

Amy Kelly practices at 1790 Hideaway Ln, Edgewater, FL 32132. The listed phone number is (386) 689-0586.

What is Amy 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 Amy Kelly was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.