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Provider Profile

Kelly N. Jackson, FNP

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At a glance

About Kelly Jackson

Kelly N. Jackson, FNP is a nurse practitioner — family based in Kingsport, TN. The provider's National Provider Identifier (NPI) is 1306505854.

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

Education & Training

School Other Graduated: 2021

Specialty

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 30680As reported
NPINational Provider Identifier
1306505854Issued 2021

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 does Kelly N. Jackson specialize in?

Kelly N. Jackson is a nurse practitioner in Kingsport, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Kelly N. Jackson located?

Kelly N. Jackson is listed at 4 Sheridan Sq Ste 102, Kingsport, TN 37660. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kelly N. Jackson's phone number?

The number on file is (423) 588-7140. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kelly N. Jackson's NPI number?

Kelly N. Jackson's National Provider Identifier is 1306505854. 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

Where did Kelly N. Jackson train?

Kelly N. Jackson attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly N. Jackson been practicing?

Kelly N. Jackson has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Kelly N. Jackson confirmed this information?

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

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