Active NPIIndividual provider

Kelly A Donald, APN

Nurse Practitioner, Psych/Mental Health in Randolph, New Jersey

NPI Number1871231720
Practice location
2 Emery Ave, Randolph, NJ 07869-1368
Fax
973-695-1484
Last updated
January 27, 2025

Kelly A Donald is a Nurse Practitioner, Psych/Mental Health based in Randolph, NJ. Kelly A Donald practices in Randolph, NJ and has the professional credentials of APN. The NPI Number for Kelly A Donald is 1871231720 and holds a License No. 26NJ01312600 (NJ). The current practice location address for Kelly A Donald is 2 Emery Ave, Randolph, NJ 07869-1368 and can be reached out via phone at 973-891-9500 and via fax at 973-695-1484.

Provider Profile Details

NPI Number
1871231720
Provider Name
Kelly A Donald
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2 Emery Ave, Randolph, NJ 07869-1368
Phone Number
973-891-9500
Fax Number
973-695-1484
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2022
Last Update Date
January 27, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Emery Ave
Randolph, NJ 07869-1368
Zip
07869-1368
Phone Number
973-891-9500
Fax Number
973-695-1484
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
2 Emery Ave
Randolph, NJ 07869-1368
City
Randolph
State
NJ
Zip
07869-1368
Phone Number
973-219-2391

License Information

License Number
26NJ01312600
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kelly A Donald, APN?

The NPI number of Kelly A Donald, APN is 1871231720. It was assigned on May 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Kelly A Donald, APN?

Kelly A Donald, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01312600.

Where does Kelly A Donald, APN practice?

The practice location is 2 Emery Ave, Randolph, NJ 07869-1368. The office can be reached at 973-891-9500 (phone) or 973-695-1484 (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 1871231720 directly on the NPPES registry website.

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