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

KELLEY J JACKSON, WHNP

Active Sole Proprietor

KELLEY J JACKSON, WHNP is a Women's Health Nurse Practitioner healthcare provider located in PLACERVILLE, California. NPI 1558044644 is currently active in the NPPES registry. Verify at CMS.

Women's Health Nurse Practitioner · PLACERVILLE, CA

Registration Details

NPI Number
1558044644
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2023 (2.9740581694484 yrs)
Last Updated
Aug 8, 2023
License
95026533 (CA)
Sole Proprietor
Yes

Practice Information

Address
1095 MARSHALL WAY
PLACERVILLE, CA, 956675722
Browse CA providers · Browse ZIP 95667
Phone
5303445470
Primary Specialty
Women's Health Nurse Practitioner
363LW0102X

Other Women's Health Nurse Practitioner Providers in PLACERVILLE, CA

Name Credential NPI
ZENITH AUSTEN DONAHUE N.P. 1962452888
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.