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

Mr. Jeffery Jeane Kelley Jr.

Individual provider Nurse's Aide · NPI 1104406990

Mr. Jeffery Jeane Kelley Jr. is a Nurse's Aide in Edwardsville, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

205 Ashley Pl Apt 2
Edwardsville, IL 62025-3541
Phone: (618) 910-0942
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1104406990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

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