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KELLONTREIA JACKSON, A-GNP-C
A-GNP-C
Gerontology Nurse Practitioner
NPI: 1619685534IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
RN259383(GA)1176633(TX)36993(TN)4704420181(MI)C-APN.0102805-C-NP(CO)H181146(IA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
Via practice · 2 locations total
- Address
- 41800 W 11 MILE RD STE 109
NOVI, MI 48375 - Phone
- (248) 660-1220
Quick Facts
- NPI
- 1619685534
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 6
- Locations
- 2
- Years in Practice
- 6
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