Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Delaine Adrian

Individual provider Nurse Practitioner · NPI 1285293142

Jacqueline Delaine Adrian is a Nurse Practitioner in Kettering, Ohio. Qualified in 2019, 7 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3535 Southern Blvd Ste 2100
Kettering, OH 45429-1221
Phone: (937) 395-8556
Fax: (937) 395-6376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRNCNP024796 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNOP.024796 (OH)

Record details

NPI number1285293142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kettering