Jackson, Kellontreia Laporche

Jackson, Kellontreia Laporche is an individual health care provider with primary practice located at 37 341 Byp , Hawkinsville GA 31036-4839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jackson, Kellontreia Laporche can be contacted via phone (478) 845-4842.

Contact Information

Primary practice address
37 341 Byp Hawkinsville GA 31036-4839
Phone: (478) 845-4842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704420181 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP259383 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1176633 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X H181146 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X C-APN.0102805-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 36993 Tennessee

Profile Details

NPI number 1619685534
LBN Legal business name Jackson, Kellontreia Laporche
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2022
Last updated May 13th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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