Individual provider · Type 1 NPI
Kelly Len Jackson, N.P.
Oncology Registered Nurse · Lawrenceville, GA
NPI number
1174761498
Active
Practice location
771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046-4979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Registered Nurse Primary | 163WX0200X | RN143526 (GA) |
Oncology Registered Nurse: Definition to come...
2 other providers at this address
Other oncology registered nurse providers in Lawrenceville
About NPI 1174761498
Kelly Len Jackson, N.P.'s National Provider Identifier is 1174761498, issued on Jan 23, 2009. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 16, 2025.