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

Jordan Kelley

Individual provider Physician Assistant · NPI 1891632592

Jordan Kelley is a Physician Assistant in St Augustine, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

125 Land Grant St Unit 2
St Augustine, FL 32092-2260
Phone: (904) 659-9818
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1891632592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address125 Land Grant St Unit 2, St Augustine, FL 32092-2260

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