Individual provider · Type 1 NPI
Kelsey Jackson, NP
Nurse Practitioner · Dallas, TX
Practice location
200 W Commerce St Apt 428
Dallas, TX 75208-1388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1244349 (TX) |
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 1184549164
Kelsey Jackson, NP's National Provider Identifier is 1184549164, issued on Aug 11, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 11, 2026.