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:
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Health care specialties

SpecialtyCodeLicense #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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