Individual
KELLY NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 SHERIDAN SQ STE 102, KINGSPORT, TN 37660-7435
(423) 588-7140
(423) 588-7141
Mailing address
6016 BROOKVALE LN STE 200, KNOXVILLE, TN 37919-4092
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30680
TN
Other
Enumeration date
12/13/2021
Last updated
05/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up