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Jacquelyn Rain Kelly
Family Nurse Practitioner in Trophy Club, Texas
NPI 1275144867

Jacquelyn Rain Kelly is a Family Nurse Practitioner based in Trophy Club, TX and is specialized in Family. Jacquelyn Rain Kelly practices in Trophy Club, TX. The NPI Number for Jacquelyn Rain Kelly is 1275144867 and holds a License No. RN250200 (Texas).

The current practice location address for Jacquelyn Rain Kelly is 2222 Glasgow Dr, Trophy Club, TX and can be reached out via phone at 941-321-0439.

Location: 2222 Glasgow Dr, Trophy Club, TX, 76262-5491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275144867
Provider Name
Jacquelyn Rain Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
2222 Glasgow Dr, Trophy Club, TX, 76262-5491
Phone Number
941-321-0439
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 Glasgow Dr
City
Trophy Club
State
Texas
Zip
76262-5491
Phone Number
941-321-0439
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Glasgow Dr
City
Trophy Club
State
Texas
Zip
76262-5491
Phone Number
941-321-0439
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
RN250200 (Georgia)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1023315 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN250200 (Georgia)
Definition
Definition to come...
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