Individual
JENNIFER LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 MAPLE AVE FL 9, WHITE PLAINS, NY 10601-4706
(914) 948-1000
Mailing address
122 MAPLE AVE FL 9, WHITE PLAINS, NY 10601-4706
(914) 948-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312327
NY
Other
Enumeration date
07/10/2025
Last updated
03/01/2026
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