Kelly Ann Jackson, AGNP Valid NPI

Individual provider · Nurse Practitioner · Ewing, NJ

NPI

1174492185

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

26NJ15451800 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2025-10-30

Last updated

2025-11-24