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Provider Profile

Kellontreia L. Jackson, A-GNP-C

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At a glance

About Kellontreia Jackson

Listed in the NPI registry as a nurse practitioner — gerontology, Kellontreia L. Jackson, A-GNP-C practices in Hawkinsville, GA. NPI 1619685534 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. NP259383As reported
CO licenceAs reported to the NPI registry
No. C-APN.0102805-C-NPAs reported
IA licenceAs reported to the NPI registry
No. H181146As reported
MI licenceAs reported to the NPI registry
No. 4704420181As reported
TN licenceAs reported to the NPI registry
No. 36993As reported
TX licenceAs reported to the NPI registry
No. 1176633As reported
NPINational Provider Identifier
1619685534Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Kellontreia L. Jackson's specialty?

Kellontreia L. Jackson is a nurse practitioner in Hawkinsville, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Gerontology”.

NPI registry

Where can I find Kellontreia L. Jackson?

Kellontreia L. Jackson is listed at 37 341 Byp, Hawkinsville, GA 31036. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Kellontreia L. Jackson?

The number on file is (478) 845-4842. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kellontreia L. Jackson's NPI number?

Kellontreia L. Jackson's National Provider Identifier is 1619685534. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Kellontreia L. Jackson's education?

Kellontreia L. Jackson attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How long has Kellontreia L. Jackson been practicing?

Kellontreia L. Jackson has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Has Kellontreia L. Jackson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kellontreia L. Jackson. If this is you, claiming it is free.

Guide.md

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