Individual
JACLYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 650-3647
Mailing address
1511 OAKWOOD AVE, DES PLAINES, IL 60016-6617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041349337
IL
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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