Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE SUZANNE JACKSON, RN
Active Sole ProprietorKELLIE SUZANNE JACKSON, RN is a Registered Nurse healthcare provider located in MOUNT AIRY, North Carolina. NPI 1043995517 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · MOUNT AIRY, NC
Registration Details
- NPI Number
- 1043995517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2023 (3.1456682294083 yrs)
- Last Updated
- Jun 21, 2023
- License
-
172497 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 W LEBANON STMOUNT AIRY, NC, 270302954Browse NC providers · Browse ZIP 27030
- Phone
- 3367899492
- Fax
- 3367899587
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in MOUNT AIRY, NC
| Name | Credential | NPI |
|---|---|---|
| MARY LOWE | RN | 1760757058 |
| AMY CREWS SMITH | RN | 1710629183 |
| MARIAH MERCEDES MCCLENDON | RN | 1912770512 |
| KATHRYN MORRISON SPENCER-MOORE | — | 1487429072 |
| REBECCA SLATE BENTON | RN | 1659170827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.