Kelly Thibault
CRNP | Nurse Practitioner - Pediatrics
201 Lyons Ave, Newark
New Jersey, 07112-2027
973-926-7000
Kelly Thibault is a Newark, New Jersey based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Kelly Thibault is 26NJ0048730 for Pediatrics in New Jersey. Her current practice location is 201 Lyons Ave, Newark. Patients can reach her at 973-926-7000. Kelly Thibault is CRNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1730597360.
Kelly Thibault specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Kelly Thibault speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Thibault |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 201 Lyons Ave, Newark,
New Jersey, 07112-2027 |
| Phone: | 973-926-7000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1730597360 |
| NPI Enumeration Date: | 28 Jul, 2014 |
| NPI Last Update On: | 26 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Thibault are as mentioned below.
| License Number | Specialization | State | Status | |
| 26NJ0048730 | Pediatrics | New Jersey | Primary | |
| 382415 | Pediatrics | New York | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Thibault
60 Oak Pl,
Fair Haven, New Jersey |
| Zip: | 07704-3510 |
| Phone Number: | 732-768-7857 |
Patients can reach Kelly Thibault at
201 Lyons Ave, Newark, New Jersey or can
call to book an appointment on 973-926-7000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.