What is Kellie Jackson's NPI number?

Kellie Jackson's National Provider Identifier (NPI) is 1043995517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kellie Jackson's specialty?

Kellie Jackson is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kellie Jackson located?

Kellie Jackson's practice location on file with NPPES is 414 W Lebanon St, Mount Airy, NC 27030-2954.

What is Kellie Jackson's phone number?

The practice phone number listed in the NPPES registry for Kellie Jackson is (336) 789-9492.

Is Kellie Jackson's NPI active?

Yes — Kellie Jackson's NPI (1043995517) is active in the NPPES registry as of the last update on 2023-06-21.

IndividualActive

Kellie Jackson, RN

NPI 1043995517 · Registered Nurse · Mount Airy, NC

Kellie Jackson, RN is a Registered Nurse provider in Mount Airy, NC (NPI 1043995517).

Provider details

NPI number: 1043995517
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: 172497 (NC)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 172497 (NC)
Nursing Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

414 W Lebanon St

Mount Airy, NC 27030-2954

Phone: (336) 789-9492

Fax: (336) 789-9587

Street-level locationGet directions

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Mailing address