Jacqueline Ann Kelly, RN is a
Registered Nurse based in Mohall, North Dakota. Jacqueline Ann Kelly is licensed to practice in ZZ (license number 33918) and her current practice location is
206 3rd St Nw, Mohall, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(306) 540-7407.
NPI number for Jacqueline Ann Kelly is 1972259505 and her current mailing address is Po Box 811, Mohall, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972259505.
Provider's Profile
| Full Name | Jacqueline Ann Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 206 3rd St Nw, Mohall, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972259505
- Provider Enumeration Date: 02/22/2022
- Last Update Date: 02/22/2022
Medical Identifiers
Medical identifiers for Jacqueline Ann Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972259505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 33918 (ZZ) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Ann Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Ann Kelly, RN
Po Box 811,
Mohall, ND 58761-0811
Ph: (306) 540-7407 | Jacqueline Ann Kelly, RN
206 3rd St Nw,
Mohall, ND 58761-4105
Ph: (306) 540-7407 |
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