Individual provider · Type 1 NPI

Kelly Ann Jackson, AGNP

Nurse Practitioner · Ewing, NJ

NPI number 1174492185 Active

Practice location

8 Scudder Rd
Ewing, NJ 08628-2309

Other practice locations

  • 4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 · (609) 482-3701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ15451800 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174492185

Kelly Ann Jackson, AGNP's National Provider Identifier is 1174492185, issued on Oct 30, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ewing, NJ. The record was last updated on Nov 24, 2025.