Individual provider · Type 1 NPI

Jacob Kelton

Acute Care Nurse Practitioner · Texarkana, TX

NPI number 1730583840 Active

Practice location

2600 Saint Michael Dr
Texarkana, TX 75503-5220

Other practice locations

  • 130 Tankersley Rd Ste 200, Mount Pleasant, TX 75455-1604 · (903) 606-7480
  • 5002 Cowhorn Creek Rd Ste 4000B, Texarkana, TX 75503-9707 · (903) 614-3006
  • 115 Airport Rd, Sulphur Springs, TX 75482-2105 · (903) 438-4670

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP126076 (TX)
Acute Care Nurse Practitioner Primary 363LA2100XAP126076 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730583840

Jacob Kelton's National Provider Identifier is 1730583840, issued on Oct 17, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Texarkana, TX. The record was last updated on Sep 21, 2026.