Kelly Len Jackson, N.P.
NPI #1174761498 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1174761498
- Entity Type
- Individual
- Name
- Kelly Len Jackson, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Oncology
- Credential
- N.P.
- Enumeration Date
- Jan 23, 2009
- Last Updated
- Nov 16, 2025
Practice Location
- Address
- 771 OLD NORCROSS RD STE 165
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-4979
- Phone
- (678) 442-3121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Oncology — Oncology |
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