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Jillian Marie Kelly

Nurse Practitioner - Women's Health

26 City Hall Mall
Medford , Massachusetts 02155-4754

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Jillian Marie Kelly

Nurse Practitioner - Women's Health

26 City Hall Mall
Medford , Massachusetts 02155-4754

(781) 306-5227

Write a Review Save Call

Jillian Marie Kelly

Nurse Practitioner - Women's Health

26 City Hall Mall
Medford , Massachusetts 02155-4754

(781) 306-5227 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Women's Health

Languages spoken

  • English

Location

26 City Hall Mall Medford , Massachusetts 02155-4754

First Address

  • Jillian Marie Kelly
  • 26 City Hall Mall
  • Medford, MA
  • Zip : 02155-4754
  • Fax : (781) 306-5227
  • Phone : (781) 306-5304

Second Address

  • Jillian Marie Kelly
  • 26 City Hall Mall
  • Medford, MA
  • Zip : 02155-4754
  • Fax : (781) 306-5227
  • Phone : (781) 306-5304

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FAQs


Where did Jillian Marie Kelly attend graduate school?

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Where did Jillian Marie Kelly do her residency?

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Where did Jillian Marie Kelly do her fellowship?

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Is Jillian Marie Kelly board certified?

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What type of doctor is Jillian Marie Kelly

Nurse Practitioner - Women's Health

In what state does Jillian Marie Kelly practice in?

Massachusetts

Where is Jillian Marie Kelly ’s practice located?

26 City Hall Mall , Medford, Massachusetts, 02155-4754

What is Jillian Marie Kelly ’s gender?

Female

Is Jillian Marie Kelly a sole practitioner?

No

Is Jillian Marie Kelly accepting new patients?

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What languages does Jillian Marie Kelly speak?

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Does Jillian Marie Kelly accept insurance?

Yes, Jillian Marie Kelly accepts insurance

Does Jillian Marie Kelly offers telemedicine?

Jillian Marie Kelly has not indicated if she offers telemedicine

What is Jillian Marie Kelly ’s professional license number?

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What is Jillian Marie Kelly ’s NPI number?

1083923130

Does Jillian Marie Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LW0102X Nurse Practitioner - Women's Health 275375 MA

National Provider Identifier

NPI 1083923130
Provider Name Jillian Marie Kelly
First Address Medford, MA 02155-4754
Second Address Medford, MA 02155-4754
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/10/2010
Last Update Date 27/03/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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