Individual
MS. JENNIFER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6924
Mailing address
153 E 87TH ST, APT 2C, NEW YORK, NY 10128-2700
(718) 812-6260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307057
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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