NPI 1013895945

Jessica Kelly

Practitioner Student in an Organized Health Care Education/Training Program Portland, ME

Practice location

Address: 716 Stevens Ave, Portland, ME 04103-2656
Phone: (207) 283-0171

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence RN2317609 (MA)

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Registry record

NPI: 1013895945
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2025
Record last updated: 27 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.