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KELLY JACKSON
NPI 1831582204
Physician Assistant - Surgical in Scottsdale, AZ

Active since March 10, 2015
9345 E VOLTAIRE AVE, SCOTTSDALE, AZ 85260(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jackson NPPES

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

KELLY JACKSON (NPI 1831582204) is a healthcare organization registered as a surgical in Scottsdale, Arizona and active in the NPI registry since March 2015. The organization lists Kelly Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1831582204
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameKELLY JACKSON
Location Address9345 E VOLTAIRE AVEScottsdale, AZ 85260-7432
Mailing Address9345 E Voltaire AveScottsdale, AZ 85260-7432 · (214) 227-2457 · Fax (214) 764-0880
Phone(214) 227-2457
Fax(214) 764-0880
Organization SubpartNo
Authorized OfficialKelly JacksonOwner · (214) 227-2457
Enumeration DateMarch 10, 2015
✔ NPI 1831582204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · AP4200
9345 E VOLTAIRE AVE, Scottsdale, AZ 85260
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1831582204. It was assigned to this organization in the NPPES registry on March 10, 2015.

Where is Kelly Jackson located?

Kelly Jackson is located at 9345 E Voltaire Ave, Scottsdale, AZ 85260. The listed phone number is (214) 227-2457.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.