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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY LEN JACKSON, N.P.

Active

KELLY LEN JACKSON, N.P. is a Ophthalmic Nurse healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1174761498 is currently active in the NPPES registry. Verify at CMS.

Ophthalmic Nurse · LAWRENCEVILLE, GA

Registration Details

NPI Number
1174761498
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2009 (17.516493441503 yrs)
Last Updated
Nov 16, 2025
License
RN143526 (GA)

Practice Information

Address
771 OLD NORCROSS RD STE 165
LAWRENCEVILLE, GA, 300464979
Browse GA providers · Browse ZIP 30046
Phone
6784423121
Primary Specialty
Ophthalmic Nurse
163WX0200X

Other Ophthalmic Nurse Providers in LAWRENCEVILLE, GA

Name Credential NPI
BARBARA O'CALLAGHAN RN, NP 1003041104
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.