Kelly Jackson, S.L.P.
NPI 1083632467 · Speech-Language Pathologist · Lake Park, GA
Kelly Jackson, S.L.P. is a Speech-Language Pathologist provider in Lake Park, GA (NPI 1083632467).
Provider details
- NPI number
- 1083632467
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- S.L.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA8681 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1083632467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jackson's specialty?
- Kelly Jackson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 5314 Moss Oak Trl, Lake Park, GA 31636-3300.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (386) 362-8564.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1083632467) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.