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

Jacqueline Rita Kelly, CRNP

Individual provider Pediatric Nurse Practitioner · NPI 1366203036

Jacqueline Rita Kelly, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2023, 3 years ago. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

737 W Lombard St
Baltimore, MD 21201-1009
Phone: (410) 706-2300
Fax: (410) 706-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R236041 (MD)

Record details

NPI number1366203036
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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