KELLY LEN JACKSON

LAWRENCEVILLE, GA
NPI1174761498
Former NameKELLY LEN BRANDENBERGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WX0200X Registered Nurse, Oncology
(Licence: GA  RN143526)
Enumeration Date2009-01-23
Last Update Date2025-11-16
Business Address
-- KELLY LEN JACKSON N.P.
771 OLD NORCROSS RD STE 165
LAWRENCEVILLE, GA 30046-4979
Phone number: 678-442-3121
Mailing Address
-- KELLY LEN JACKSON N.P.
771 OLD NORCROSS RD STE 165
LAWRENCEVILLE, GA 30046-4979
Phone number: 678-442-3121