Jennifer Lee Kelley, CNS

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

4704287974 Issued in MI

Practice address

1540 E Hospital Dr SPC 4242
Ann Arbor, MI 48109-4242

Phone

(734) 936-8058

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1700637774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8563 BERGIN RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488439032",
            "telephone_number": "734-936-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR SPC 4242",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094242",
            "telephone_number": "734-936-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "MI",
            "license": "4704287974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R Kelley, LMSW, CAADC
• Christine Kelley, LMSW
• Christine Marie Kelley, CRNA
• Emma Kelley
• Hailey Kelley
• Jennifer Lynn Kelley, RN CNM
• Mackenzie Kelley
• Margaret Kelley, LPC
• Michael E Kelley, PHD
• Pamela Jean Kelley, NP

• Pediatric Clinical Nurse Specialist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pediatric Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.