Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELSEY JACKSON NP
NPI 1184549164
Nurse Practitioner in Dallas, TX

Active since August 11, 2026
200 W COMMERCE ST APT 428, DALLAS, TX 75208(901) 240-7154 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Jackson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY JACKSON NP (NPI 1184549164) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1244349) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1184549164
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY JACKSONCredential: NP
Location Address200 W COMMERCE ST APT 428Dallas, TX 75208-1388
Mailing Address200 W Commerce St Apt 428Dallas, TX 75208-1388
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 10, 2026
NPI 1184549164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1244349
Definition
(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.
200 W COMMERCE ST APT 428, Dallas, TX 75208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Jackson's NPI number?

The NPI number for Kelsey Jackson is 1184549164. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Kelsey Jackson located?

Kelsey Jackson practices at 200 W Commerce St Apt 428, Dallas, TX 75208. The listed phone number is (901) 240-7154.

What is Kelsey Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Jackson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.