Coleman, Kelly Jackson

Coleman, Kelly Jackson is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Ste 110 , Matthews NC 28105-5403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Coleman, Kelly Jackson can be contacted via phone (704) 316-3131.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Ste 110 Matthews NC 28105-5403
Phone: (704) 316-3131
Fax: (704) 316-3132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5008693 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5008693 North Carolina

Profile Details

NPI number 1497107536
LBN Legal business name Coleman, Kelly Jackson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Feb 5th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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