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KELLY D JACKSON
NPI 1760961833
Licensed Vocational Nurse in Conroe, TX

Active since August 09, 2018
602 W SEMANDS ST, CONROE, TX 77301(936) 756-5598 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly D Jackson NPPES

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

KELLY D JACKSON (NPI 1760961833) is an individual licensed vocational nurse in Conroe, Texas, licensed in Texas (317819) and active in the NPI registry since August 2018. She maintains a secondary practice location in Conroe.

NPPES Registry Identity

NPI1760961833
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY D JACKSON
Location Address602 W SEMANDS STConroe, TX 77301-1867
Mailing Address602 W Semands StConroe, TX 77301-1867 · (936) 756-5598
Phone(936) 756-5598
Sole ProprietorNo
Enumeration DateAugust 9, 2018
✔ NPI 1760961833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 317819
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 154385 (OH)
602 W SEMANDS ST, Conroe, TX 77301
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Secondary Practice Location 1

Location 1602 W Semands StConroe, TX 77301-1867 · Phone (936) 756-5598

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORI DALTON
Licensed Vocational Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
CARLY DENISE CALHOUN RN
Registered Nurse (Home Health)
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
HANNAH MUELLER
Registered Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
BRENDAH NAMWAWA
Licensed Psychiatric Technician
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
MRS. JUANITA GARZA HOROWITZ RN
Registered Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
CAROLINE DALE
Registered Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (316) 522-0608
MRS. LEIGH ANN KELLY BSN, RN
Registered Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598
CATHERINE HOPE RUZZI RN
Registered Nurse
602 W SEMANDS ST
CONROE, TX 77301
Montgomery County (936) 756-5598

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1760961833. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Kelly Jackson located?

Kelly Jackson practices at 602 W Semands St, Conroe, TX 77301. The listed phone number is (936) 756-5598.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.