Kellontreia Laporche Jackson, A-GNP-C
Kellontreia Laporche Jackson, A-GNP-C is a Nurse Practitioner in Hawkinsville, Georgia. Qualified in 2022, 4 years ago. Practices with Topaz Bay Senior Health PC, a 30-clinician group and accepts Medicare assignment. Licensed in Colorado, Georgia, Iowa and Michigan and 2 more.
- Years since qualifying
- 4
- Licensed in
- CO, GA, IA, MI, TN, TX
- In the registry since
- 2022
- Specialties on file
- 6
Practice location Address checks out
37 341 BypHawkinsville, GA 31036-4839
Phone: (478) 845-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence NP259383 (GA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 4704420181 (MI) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 1176633 (TX) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence H181146 (IA) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence C-APN.0102805-C-NP (CO) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 36993 (TN) |
Record details
| NPI number | 1619685534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | A-GNP-C |
| Sole proprietor | No |
| NPI enumerated | November 9, 2022 |
| Last updated in NPPES | May 13, 2026 |
| Certification date | May 13, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Topaz Bay Senior Health Pc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hawkinsville
-
Rachel Singletary, AGACNP
155 Commerce St, Hawkinsville, GA 31036-8420 · (478) 783-4060