Provider Demographics
NPI:1508954850
Name:KELSEY, JANE BEATRICE (RNC)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:BEATRICE
Last Name:KELSEY
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3914
Mailing Address - Country:US
Mailing Address - Phone:413-773-9692
Mailing Address - Fax:
Practice Address - Street 1:1727 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-1919
Practice Address - Country:US
Practice Address - Phone:413-532-0926
Practice Address - Fax:413-532-0928
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195710163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse