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Kelly Jackson, AGNP
NPI 1174492185 · Nurse Practitioner · Ewing, NJ
Kelly Jackson, AGNP is a Nurse Practitioner provider in Ewing, NJ (NPI 1174492185).
Provider details
- NPI number
- 1174492185
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ15451800 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8 Scudder Rd
Ewing, NJ 08628-2309
Phone: (609) 586-6678
Street-level locationGet directions
Mailing address
8 Scudder Rd
Ewing, NJ 08628-2309
Additional practice locations (1)
- 4 Princess Rd Ste 206Lawrenceville, NJ 08648-2322Phone: (609) 482-3701
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1174492185, 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 Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 8 Scudder Rd, Ewing, NJ 08628-2309.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (609) 586-6678.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1174492185) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.