Individual
MS. SUSAN E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
(888) 731-8994
Mailing address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00309500
NJ
363LF0000X
Family Nurse Practitioner
Primary
393481-1
NY
Other
Enumeration date
09/20/2006
Last updated
01/07/2026
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