Kelly, Jacquelyn Rain

Kelly, Jacquelyn Rain is an individual health care provider with primary practice located at 2222 Glasgow Dr , Trophy Club TX 76262-5491. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelly, Jacquelyn Rain can be contacted via phone (941) 321-0439.

Contact Information

Primary practice address
2222 Glasgow Dr Trophy Club TX 76262-5491
Phone: (941) 321-0439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN250200 Georgia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 1023315 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN250200 Georgia

Profile Details

NPI number 1275144867
LBN Legal business name Kelly, Jacquelyn Rain
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Jan 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers