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

Jacqueline Kelly

Individual provider Family Nurse Practitioner · NPI 1124109624

Jacqueline Kelly is a Nurse Practitioner in Norfolk, Virginia. Qualified in 2015, 11 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2006
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Practice location Address checks out

400 Gresham Dr Ste 303
Norfolk, VA 23507-1901
Phone: (757) 627-6416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024165999 (VA)

Record details

NPI number1124109624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Se Virginia Value Based Care Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk