Donnell-Jackson, Kelly L

Donnell-Jackson, Kelly L is an individual health care provider with primary practice located at 1015 Briggs Rd , Mount Laurel NJ 08054-4115. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Donnell-Jackson, Kelly L can be contacted via phone (856) 727-0900.

Contact Information

Primary practice address
1015 Briggs Rd Mount Laurel NJ 08054-4115
Phone: (856) 727-0900
Fax: (856) 231-8428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR09192400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010454 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00060400 New Jersey

Profile Details

NPI number 1649475765
LBN Legal business name Donnell-Jackson, Kelly L
Credentials RN, MSN, APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Oct 20th, 2020 - about 4 years 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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