KELLY LEN JACKSON


Address: 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699
Phone: 4042551930

KELLY LEN JACKSON (NPI# 1174761498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174761498
Entity Type Individual
Full Name KELLY LEN JACKSON
Other Name KELLY LEN BRANDENBERGER
Credential N.P.
Practice Address 5670 Peachtree Dunwoody Rd Ne
Suite 1000
Atlanta
GA 30342-1699
Practice Telephone 4042551930
Practice Fax Number 4042551939
Mailing Telephone 4042551930
Mailing Fax Number 4042551939
Enumeration Date 2009-01-23
Last Update Date 2010-02-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0200X Registered Nurse
Specialization: Oncology
RN143526 GA Nursing Service Providers

Other Providers KELLY JACKSON

NPI Name Taxonomy Address Enumeration
1588036263 Kelly Jackson Social Worker 2937 Ne 16th Ter, Gainesville, FL 32609-3234 2015-10-21
1477896876 Kelly A Jackson Occupational Therapist 178 Manila Ave, Staten Island, NY 10306-5608 2013-04-03
1104986793 Kelly A Jackson Chiropractor 190 North Main Street, Natick, MA 01760 2006-12-12
1518982487 Kelly Donald Jackson Dentist 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 2006-07-13
1689273310 Kelly Jackson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 2020-10-23
1629544655 Kelly Colleen Jackson Counselor 811 Madison St, Everett, WA 98203-4543 2018-10-17
1619457926 Kelly Jackson Physician Assistant 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 2018-08-16
1760961833 Kelly D Jackson Licensed Practical Nurse 602 W Semands St, Conroe, TX 77301-1867 2018-08-09
1841780178 Kelly Amanda Jackson Nurse Practitioner 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 2018-05-11
1033653431 Kelly Jackson Nurse Practitioner 606 W Columbia St, San Augustine, TX 75972-1709 2016-12-05

Office Location

Street Address 5670 PEACHTREE DUNWOODY RD NE
SUITE 1000
City ATLANTA
State GA
Zip Code 30342-1699

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790784080 Scott Jeffrey Small Internal Medicine 5670 Peachtree Dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342 2005-07-19
1619214343 Kalos Surgical Associates LLC Otolaryngology 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 2013-01-15
1497006555 Nsh Cancer Institute Professional Services A LLC Durable Medical Equipment & Medical Supplies 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 2012-09-28
1215288378 Nsh Cancer Institute Professional Services A LLC Pharmacy 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 2012-09-28
1376843003 Northside Cardiology-electrophysiology, LLC Internal Medicine 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 2010-10-28
1225277809 Meghan Meyer Williams Physician Assistant 5670 Peachtree Dunwoody Rd Ne, Suite 920, Atlanta, GA 30342-1699 2009-02-05
1982864443 Karen D Cowan Nurse Practitioner 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 2008-06-09
1548444045 Kelly Ann May Internal Medicine 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 2007-12-20
1144412883 Megan Christina Sweet Physician Assistant 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 2007-08-16
1811187107 Diana Derry Audiologist 5670 Peachtree Dunwoody Rd Ne, Suite 1280, Atlanta, GA 30342-1699 2007-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 163WX0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Oncology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235597337 Alice S Kerber Registered Nurse 50 Hurt Plz Se, Suite 704, Atlanta, GA 30303-2946 2016-02-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376180430 Marie Daniella Perez Registered Nurse 112 Lee Ave, Leesburg, GA 31763-4117 2019-12-06
1730780073 Mojisola Mary Bakare Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-11-03
1477994804 Lisa Clair Logue Registered Nurse 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2013-07-15
1710327176 Jennifer Fournier Registered Nurse 225 Candler Dr, Suite 204, Savannah, GA 31405-6023 2013-07-01
1003041104 Barbara O'callaghan Registered Nurse 631 Professional Drive, 450, Lawrenceville, GA 30046-7651 2009-05-19
1861627028 Theresa Lynn Catlin Registered Nurse 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 2009-05-18
1881841047 Jennifer M Butler Registered Nurse 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2008-08-19
1184820128 Sherry Annice Davis Registered Nurse 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2007-06-26

Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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