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

MS. Angela Kennerly, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1558156257

MS. Angela Kennerly, NURSEPRACTITIONER is a Nurse Practitioner in Jamaica, New York. Qualified in 2009, 17 years ago. Licensed in New York and South Carolina.

Years since qualifying
17
Licensed in
NY, SC
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

17401 126th Ave
Jamaica, NY 11434-3313
Phone: (347) 970-9663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F357856-01 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 210514 (SC)

Record details

NPI number1558156257
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jamaica