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

Mrs. Jacqueline A. Kelly, NP

Individual provider Nurse Practitioner · NPI 1558855296

Mrs. Jacqueline A. Kelly, NP is a Nurse Practitioner in Syracuse, New York. Licensed in North Carolina and New York. Registered with an NPI since 2018.

Licensed in
NC, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210
Phone: (315) 464-5979
Fax: (315) 464-4761
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 348747 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 5010974 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 348747 (NY)

Record details

NPI number1558855296
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 17, 2018
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

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