Individual
MRS. JENNIE L KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 HANCOCK CIR, METHUEN, MA 01844-7146
(978) 509-1749
Mailing address
34B BRAMAN ST, DANVERS, MA 01923-1942
(978) 509-1749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2277698
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2277698
RN
MA
Enumeration date
02/05/2017
Last updated
03/05/2018
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