Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelley J Jackson, WHNP

Individual provider Women's Health Nurse Practitioner · NPI 1558044644

Kelley J Jackson, WHNP is a Nurse Practitioner in Placerville, California. Graduated from University of Cincinnati College of Medicine in 2023, 3 years ago. Practices with Marshall Medical Center, a 171-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of Cincinnati College of Medicine
Licensed in
CA
In the registry since
2023
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

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Practice location Address checks out

1095 Marshall Way
Placerville, CA 95667-5722
Phone: (530) 344-5470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 95026533 (CA)

Record details

NPI number1558044644
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1550 Iron Point Rd Apt 1312, Folsom, CA 95630-7814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Marshall Medical Center — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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