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TAJMAH I KELLEY CRNP-BC
NPI 1962846501
Nurse Practitioner - Family in Philadelphia, PA

Active since April 25, 2013
3401 N BROAD ST, PARKISON PAVILION SUITE 301, PHILADELPHIA, PA 19140(215) 707-3601 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tajmah I Kelley Crnp-bc NPPES

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

TAJMAH I KELLEY CRNP-BC (NPI 1962846501) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012828) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1962846501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAJMAH I KELLEYCredential: CRNP-BC
Location Address3401 N BROAD ST, PARKISON PAVILION SUITE 301Philadelphia, PA 19140-5103
Mailing Address3401 N Broad St, Parkison Pavilion Suite 301Philadelphia, PA 19140-5103 · (215) 707-3601
Phone(215) 707-3601
Sole ProprietorNo
Enumeration DateApril 25, 2013
✔ NPI 1962846501 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 PA · SP012828
3401 N BROAD ST, Philadelphia, PA 19140
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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.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Tajmah Kelley's NPI number?

The NPI number for Tajmah Kelley is 1962846501. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Tajmah Kelley located?

Tajmah Kelley practices at 3401 N Broad St Parkison Pavilion Suite 301, Philadelphia, PA 19140. The listed phone number is (215) 707-3601.

What is Tajmah Kelley'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 Tajmah Kelley was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.