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Angela Kennerly, NURSE PRACTITIONER

NPI 1558156257 · on the registry since 2025

Practice

Address
17401 126th Ave
Jamaica, NY 11434
Phone
(347) 970-9663

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
NY, SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York