Jackson, Kelly Len
Jackson, Kelly Len is an individual health care provider with primary practice located at 5670 Peachtree Dunwoody Rd Ne Suite 1000, Atlanta GA 30342-1699. She recently has only one registered license in Nursing Service Providers / Oncology, which is considered as her primary health care specialty. Jackson, Kelly Len can be contacted via phone (404) 255-1930.Contact Information
Primary practice address
5670 Peachtree Dunwoody Rd Ne Suite 1000
Atlanta GA 30342-1699
Phone: (404) 255-1930
Fax: (404) 255-1939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Oncology | 163WX0200X | RN143526 | Georgia |
Profile Details
| NPI number | 1174761498 |
|---|---|
| LBN Legal business name | Jackson, Kelly Len |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2009 |
| Last updated | Feb 14th, 2010 - about 16 years 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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