Kelly, Jennifer Lynne

Kelly, Jennifer Lynne is an individual health care provider with primary practice located at 2101 Corona Rd Ste 102 , Columbia MO 65203-2582. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kelly, Jennifer Lynne can be contacted via phone (573) 234-1800.

Contact Information

Primary practice address
2101 Corona Rd Ste 102 Columbia MO 65203-2582
Phone: (573) 234-1800
Fax: (573) 234-1799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2009019364 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2020003607 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2020003607 Missouri

Profile Details

NPI number 1356959944
LBN Legal business name Kelly, Jennifer Lynne
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated May 25th, 2021 - about 4 years ago

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.

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