JESSICA KELLEY (NPI# 1376912816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376912816 |
| Entity Type | Individual |
| Full Name | JESSICA KELLEY |
| Practice Address |
817 S Mount Auburn Rd Cape Girardeau MO 63703-6383 |
| Practice Telephone | 5735194500 |
| Practice Fax Number | 5735194530 |
| Mailing Telephone | 5735194500 |
| Mailing Fax Number | 5735194530 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015024620 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366944910 | Jessica Rhyan Kelley | Pharmacist | 1207 Mount Vernon Rd, Fort Lawn, SC 29714-8696 | 2018-02-28 |
| 1821502055 | Jessica Kelley | Nutritionist | 65 Oliver St, Rockland, ME 04841-2226 | 2017-11-27 |
| 1063816726 | Jessica Kelley | Counselor | 720 Wayne St, Traverse City, MI 49684-1493 | 2014-10-09 |
| 1154676930 | Jessica Hart Kelley | Physical Therapist | 6404 Rolling Hill Rd, The Colony, TX 75056-3736 | 2012-07-18 |
| 1750533105 | Jessica Eve Kelley | Counselor | 10455 Franklin Ln, Wilmer, AL 36587-9336 | 2008-10-16 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1508474008 | Jessica Kelley | Case Manager/Care Coordinator | 405 E. Excelsior, Vinita, OK 74301-4226 | 2020-07-21 |
| 1114409810 | Jessica R Kelley | Physical Therapy Assistant | 411 Alabama Ave, League City, TX 77573-2615 | 2018-08-30 |
| 1740712777 | Jessica Kelley | Registered Nurse | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2017-03-29 |
| 1922551324 | Jessica Kelley | Nurse Practitioner | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2016-08-02 |
| Street Address |
817 S MOUNT AUBURN RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184857872 | Marie Nichole Wright | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2009-08-27 |
| 1215389259 | Parker Capshaw Kohlfeld | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2016-07-01 |
| 1316328735 | Drew Zural Satterfield | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2015-06-11 |
| 1053748582 | Rachael Marie Jenkins | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 200, Cape Girardeau, MO 63703-6383 | 2013-09-30 |
| 1457796054 | Trent James Essner | Audiologist | 817 S Mount Auburn Rd, Suite 200, Cape Girardeau, MO 63703-6383 | 2013-05-08 |
| 1093074932 | Jehan Pascal Murugaser | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2012-05-13 |
| 1699073122 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2011-03-08 |
| 1922260280 | Jamie Dost Harrison | Family Medicine | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700147 | Taylor Babich | Nurse Practitioner | 1021 Emily Ct, Cape Girardeau, MO 63701-4569 | 2018-08-19 |
| 1659882546 | Morgan Reiminger | Nurse Practitioner | 171 Red Hawk Rdg, Cape Girardeau, MO 63701-8380 | 2017-10-18 |
| 1902316938 | Rebecca Susanne Williamson | Nurse Practitioner | 150 S Mount Auburn Rd Ste 320, Cape Girardeau, MO 63703-4911 | 2017-10-04 |
| 1194266528 | Janet Stewart | Nurse Practitioner | 1620 Scivally Dr, Cape Girardeau, MO 63701-2431 | 2017-03-18 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1497104814 | Emily Greenley | Nurse Practitioner | 150 S Mount Auburn Rd Ste 418, Cape Girardeau, MO 63703-4911 | 2016-06-07 |
| 1407125370 | Jessica Sarah Suhre | Nurse Practitioner | 1701 Lacey Street, Hospitalist Dept, Cape Girardeau, MO 63701 | 2011-12-22 |
| 1144559246 | Lisa M. Baker | Nurse Practitioner | 37 Doctors Park Ste 1, Cape Girardeau, MO 63703-4903 | 2009-12-18 |
| 1396072120 | Heather Miller | Nurse Practitioner | 2116 Megan Drive, Suite 102, Cape Girardeau, MO 63701 | 2009-11-16 |
| 1184857872 | Marie Nichole Wright | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2009-08-27 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on JESSICA KELLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.