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IndividualActive

Kellie Suzanne Jackson

RN

Registered Nurse

NPI: 1043995517Mount Airy, North Carolina, 27030(336) 789-9492Female

About Kellie Suzanne Jackson

Kellie Suzanne Jackson, RN, is a female healthcare professional specializing in Registered Nurse, registered under National Provider Identifier (NPI) number 1043995517. Their primary practice is located at 414 W LEBANON ST, Mount Airy, North Carolina 27030.

Patients can reach the office at (336) 789-9492. Kellie Suzanne Jackson has been NPI-registered since 2023.

Doctor Details

Identity & Credentials

NPI Number
1043995517
Entity Type
Individual
First Name
Kellie
Last Name
Jackson
Credential
RN
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
414 W LEBANON ST
City
Mount Airy
State
North Carolina
ZIP
27030-2954
Country
United States
Phone
(336) 789-9492
Fax
(336) 789-9587

Specialty & Taxonomy

Primary Specialty
Registered Nurse
Classification
Registered Nurse
Taxonomy Code
163W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
414 W LEBANON ST
City
MOUNT AIRY
State
NC
ZIP
270302954

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kellie Suzanne Jackson's NPI number?
Kellie Suzanne Jackson's National Provider Identifier (NPI) is 1043995517. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kellie Suzanne Jackson specialize in?
Kellie Suzanne Jackson specializes in Registered Nurse.
Where is Kellie Suzanne Jackson located?
Kellie Suzanne Jackson practices at 414 W LEBANON ST, Mount Airy, North Carolina 27030. You can reach them by phone at (336) 789-9492.
Does Kellie Suzanne Jackson accept Medicare?
Based on available data, Kellie Suzanne Jackson is not currently enrolled in the Medicare program.
Does Kellie Suzanne Jackson offer telehealth or virtual visits?
Kellie Suzanne Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kellie Suzanne Jackson is 1043995517.