Individual
JACQUELINE ROSE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
17 BOW STREET CT, STONEHAM, MA 02180-1348
(781) 799-0633
Mailing address
17 BOW STREET CT, STONEHAM, MA 02180-1348
(781) 799-0633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2286712
MA
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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