Kelly L Donnell-Jackson in Mount Laurel - Family

Kelly L Donnell-Jackson - NPI 1649475765

Kelly L Donnell-Jackson is a Family in Mount Laurel, New Jersey. Kelly L Donnell-Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly L Donnell-Jackson is 1649475765. The last update date is 2020-10-20.

Kelly L Donnell-Jackson's current location address is 1015 Briggs Rd, Mount Laurel, New Jersey. You can contact this provider via phone number 8567270900 and fax number 8562318428. The mailing address for Kelly L Donnell-Jackson is 1015 Briggs Rd, Mount Laurel, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L Donnell-Jackson
Address 1015 Briggs Rd, Mount Laurel, New Jersey
Phone Number 8567270900
Fax Number 8562318428
Sole Proprietor N
Credentials RN, MSN, A

NPI Number Detail

NPI Number 1649475765
Provider Enumeration Date 2007-06-19
Last Updated Date 2020-10-20

Provider Mailing Address Detail

Address 1015 Briggs Rd
City Mount Laurel
State New Jersey (NJ)
Post Code 80544115
Phone Number 8567270900
Fax Number 8562318428

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 26NJ00060400
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Kelly L Donnell-Jackson

What is the Kelly L Donnell-Jackson's 1649475765?

The Kelly L Donnell-Jackson's NPI (National Provider Identifier) Number is 1649475765. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kelly L Donnell-Jackson?

The Kelly L Donnell-Jackson is situated at 1015 Briggs Rd, in the city of Mount Laurel, state of NJ, with the zip code 80544115.

What is Kelly L Donnell-Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly L Donnell-Jackson is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1649475765 to Kelly L Donnell-Jackson?

The Centers for Medicare & Medicaid Services assigned the 1649475765 to Kelly L Donnell-Jackson on 2007-06-19.

When was the information regarding Kelly L Donnell-Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly L Donnell-Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-20.

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