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NPI 1255183109

NPI 1255183109 : SYLVIA KELLY MSN, APN, FNP-C : NEPTUNE, NJ

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General NPI Number Information
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    NPI Number           |    1255183109
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    Entity Type          |    Individual 
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    Provider Name        |    SYLVIA KELLY MSN, APN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2024
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    444 NEPTUNE BLVD UNIT 2 
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    City                 |    NEPTUNE
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    State                |    NJ
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    Zip                  |    07753-4144
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    Country              |    US
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    Telephone            |    732-455-0998
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    Fax                  |    732-775-1737
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Provider Business Mailing Address
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    Address Line         |    914 WATERWORKS RD 
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-1335
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    Country              |    US
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    Telephone            |    732-284-9524
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    26NR201251500
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    26NJ15054400
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    License Number State |    NJ
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