Individual provider · Type 1 NPI
Kelly L. Donnell-Jackson, RN, MSN, APN-C
Family Nurse Practitioner · Mount Laurel, NJ
NPI number
1649475765
Active
Practice location
1015 Briggs Rd
Mount Laurel, NJ 08054-4115
Fax (856) 231-8428
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Other practice locations
- 67 Stratton Ln, Sewell, NJ 08080-2253 · (856) 889-9577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NR09192400 (NJ) |
| Nurse Practitioner | 363L00000X | SP010454 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00060400 (NJ) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Mount Laurel
- Dianna M. Shinkarow, MSN, APRN, NP-CFamily Nurse Practitioner Mount Laurel, NJ NPI 1033603949
- Shevon Borde SmithFamily Nurse Practitioner Mount Laurel, NJ NPI 1093435448
- Tracie Hawkins, MSN, APN, FNP-CFamily Nurse Practitioner Mount Laurel, NJ NPI 1124894019
- Jennifer RomanFamily Nurse Practitioner Mount Laurel, NJ NPI 1164223350
- William Louis Hopkins, CRNPFamily Nurse Practitioner Mount Laurel, NJ NPI 1164680534
- Tiffany FearonFamily Nurse Practitioner Mount Laurel, NJ NPI 1164846325
- Sydnee Means, MSN, APRN, FNP-BCFamily Nurse Practitioner Mount Laurel, NJ NPI 1194548388
- Carmen Cantillo, FNP-BCFamily Nurse Practitioner Mount Laurel, NJ NPI 1336849744
About NPI 1649475765
Kelly L. Donnell-Jackson, RN, MSN, APN-C's National Provider Identifier is 1649475765, issued on Jun 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Oct 20, 2020.