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

Mrs. Kelly Ann Jackson, AGNP

Individual provider Nurse Practitioner · NPI 1174492185

Mrs. Kelly Ann Jackson, AGNP is a Nurse Practitioner in Ewing, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

8 Scudder Rd
Ewing, NJ 08628-2309
Phone: (609) 586-6678
Show map & directions

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

Additional practice locations (1)

  • 4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 — (609) 482-3701

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15451800 (NJ)

Record details

NPI number1174492185
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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