Jillian M Kelly, NP
Nurse Practitioner, Women's Health in Medford, Massachusetts
1083923130- Practice location
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone
- 781-306-5304
- Fax
- 781-306-5227
- Last updated
- March 27, 2021
Jillian Marie Kelly is a Nurse Practitioner, Women's Health based in Medford, MA. Jillian Marie Kelly practices in Medford, MA and has the professional credentials of NP. The NPI Number for Jillian Marie Kelly is 1083923130 and holds a License No. 275375 (MA). The current practice location address for Jillian Marie Kelly is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5304 and via fax at 781-306-5227.
Provider Profile Details
- NPI Number
- 1083923130
- Provider Name
- Jillian Marie Kelly
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone Number
- 781-306-5304
- Fax Number
- 781-306-5227
- Primary Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2010
- Last Update Date
- March 27, 2021
- Certification Date
- March 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4754
- Phone Number
- 781-306-5304
- Fax Number
- 781-306-5227
Provider Business Mailing Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- MA
- Zip
- 02155-4754
- Phone Number
- 781-306-5304
- Fax Number
- 781-306-5227
License Information
- License Number
- 275375
- License State
- MA
- Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jillian M Kelly, NP?
The NPI number of Jillian M Kelly, NP is 1083923130. It was assigned on October 6, 2010 and is currently active in the NPPES registry.
What is the specialty of Jillian M Kelly, NP?
Jillian M Kelly, NP is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in MA under license number 275375.
Where does Jillian M Kelly, NP practice?
The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5304 (phone) or 781-306-5227 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083923130 directly on the NPPES registry website.