Individual
KELSEY NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
20805 W 151ST ST STE 400, OLATHE, KS 66061-7249
(913) 780-4900
(913) 780-0949
Mailing address
20805 W 151ST ST STE 400, OLATHE, KS 66061-7249
(913) 780-4900
(913) 780-0949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78371
KS
363LF0000X
Family Nurse Practitioner
111828
OK
Other
Enumeration date
03/13/2018
Last updated
06/21/2024
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