Kelly Len Jackson, NP
Kelly Len Jackson, NP is a Nurse Practitioner in Lawrenceville, Georgia. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 18
- Trained at
- Medical College of Georgia School of Medicine
- Licensed in
- GA
- In the registry since
- 2009
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
771 Old Norcross Rd Ste 165Lawrenceville, GA 30046-4979
Phone: (678) 442-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oncology Registered Nurse (primary) | Taxonomy 163WX0200X · Licence RN143526 (GA) |
|---|
Record details
| NPI number | 1174761498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | January 23, 2009 |
| Last updated in NPPES | November 16, 2025 |
| Certification date | November 16, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduated | 2008 (18 years in practice) |
| Group practice | Northside Surgical Professional Services Llc — 368 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lawrenceville
-
Barbara O'Callaghan, RN, NP
631 Professional Drive 450, Lawrenceville, GA 30046-7651 · (770) 963-8030
-
Mrs. Caroline C Rowell
698 Keats Ct, Lawrenceville, GA 30046-3121 · (678) 886-2182