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

Kelsey Nicole Jackson, APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1407544745

Kelsey Nicole Jackson, APRN-CNP is a Nurse Practitioner in Weatherford, Oklahoma. Qualified in 2022, 4 years ago. Practices with Cordell Memorial Hospital 0189, a 7-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1303 N Washington St
Weatherford, OK 73096-2443
Phone: (580) 772-2820
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 212635 (OK)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 212635 (OK)

Record details

NPI number1407544745
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cordell Memorial Hospital 0189 — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount