IndividualActive
Kelly Jackson, N.P.
NPI 1174761498 · Oncology Registered Nurse · Lawrenceville, GA
Provider details
- NPI number
- 1174761498
- Entity type
- Individual
- Primary specialty
- Oncology Registered NurseNursing Service Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- RN143526 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046-4979
Phone: (678) 442-3121
Approximate (ZIP-level) locationGet directions
Mailing address
771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046-4979
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2025-11-16
- Certified
- 2025-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.