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

Kellie Lynn Wiackley, RN

Individual provider Registered Nurse · NPI 1134984974

Kellie Lynn Wiackley, RN is a Registered Nurse in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

275 Caselton Ave
Staten Island, NY 10301
Phone: (347) 539-3670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 575 8th Ave Fl 6, New York, NY 10018-3158 — (917) 286-5225

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 884578 (NY)

Record details

NPI number1134984974
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 19, 2024

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