DR. KELLEY LINN JACKSON APRN
NPI 1528657665
Nurse Practitioner - Family in Fort Lauderdale, FL

Q: What is Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1528657665. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Q: What is Kelley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Jackson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since January 13, 2021

745 N VICTORIA PARK RD, FORT LAUDERDALE, FL 33304(954) 868-9275 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kelley Linn Jackson Aprn NPPES

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

DR. KELLEY LINN JACKSON APRN (NPI 1528657665) is an individual family provider in Fort Lauderdale, Florida, licensed in Florida (9224863) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1528657665

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KELLEY LINN JACKSONCredential: APRN

Location Address745 N VICTORIA PARK RDFort Lauderdale, FL 33304-3434

Mailing Address745 N Victoria Park RdFort Lauderdale, FL 33304-3434 · (954) 868-9275

Phone(954) 868-9275

Sole ProprietorYes

Enumeration DateJanuary 13, 2021

NPPES CertifiedJanuary 13, 2021

✔ NPI 1528657665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 9224863

745 N VICTORIA PARK RD, Fort Lauderdale, FL 33304

Open in Google Maps ↗

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 Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1528657665. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Kelley Jackson located?

Kelley Jackson practices at 745 N Victoria Park Rd, Fort Lauderdale, FL 33304. The listed phone number is (954) 868-9275.

What is Kelley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelley Jackson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.