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1922740604
KELLY TEAGUE JACKSON
SPRING, TX
NPI
1922740604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1073035)
Enumeration Date
2022-04-12
Last Update Date
2024-11-01
Business Address
KELLY TEAGUE JACKSON APRN, FNP
2168 SPRING STUEBNER RD STE 270
SPRING, TX 77389-5309
Phone number: 346-478-1976
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Mailing Address
KELLY TEAGUE JACKSON APRN, FNP
3111 SUNNY KNOLL CT
KINGWOOD, TX 77339-3637
Phone number: 832-701-7451
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