Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY ANN JACKSON, AGNP
ActiveMRS. KELLY ANN JACKSON, AGNP is a Nurse Practitioner healthcare provider located in EWING, New Jersey. NPI 1174492185 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · EWING, NJ
Registration Details
- NPI Number
- 1174492185
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2025 (0.7473088155963 yrs)
- Last Updated
- Nov 24, 2025
- License
-
26NJ15451800 (NJ)
Practice Information
- Address
-
8 SCUDDER RDEWING, NJ, 086282309Browse NJ providers · Browse ZIP 08628
- Phone
- 6095866678
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in EWING, NJ
| Name | Credential | NPI |
|---|---|---|
| MARY SUSAN GILL | — | 1528302874 |
| MABRIGIDA S VIAJE | APN | 1023633435 |
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.