Individual
JESSICA LYNN KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1331 YOUNGSTOWN WARREN RD, NILES, OH 44446
(330) 505-2601
Mailing address
100 DEBARTOLO PL STE 200, YOUNGSTOWN, OH 44512-6095
(330) 729-8146
(330) 965-5229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023078
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN023078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305377
—
OH
Enumeration date
08/18/2011
Last updated
04/01/2026
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