Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174492185 Individual Practitioner Female Practitioner

Kelly Ann Jackson , AGNP

Nurse Practitioner • Ewing, NJ

Professional Overview & Biography Verified Profile Summary

Kelly Jackson, AGNP is a registered healthcare professional specializing in Nurse Practitioner in Ewing, NJ. Practice services are available at 8 SCUDDER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8 Scudder Rd

Ewing, NJ 086282309

Telephone 6095866678
Associated Practice Facility / Clinic
🏢 Syed F Sajjad Facility NPI 1972674216

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ewing, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Ewing, NJ (1984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 26NJ15451800

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

4 Princess Rd Ste 206

Lawrenceville, NJ 086482322

Phone: 6094823701

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2025

Registered at 8 SCUDDER RD, EWING, NJ 086282309 (Tel: 6095866678)

📍
Updated Business Mailing Address October 30, 2025

Registered at 8 SCUDDER RD, EWING, NJ 086282309

👤
Provider Name / Credentials Updated October 30, 2025

Recorded as KELLY JACKSON, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Nurse Practitioner (License #26NJ15451800 in NJ)

🟢
Initial NPI Registration & Enumeration October 30, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174492185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2025
Last Update: November 24, 2025
Sole Proprietor: No

Mailing Address

8 Scudder Rd

Ewing, NJ 086282309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.