Kelly Jackson, RN, FNP-C

Nurse practitioner in Tyler, Texas · NPI 1033653431

Kelly Jackson is one of 637 nurse practitioners practicing in Tyler, Texas. Kelly Jackson practices with Oliver Street 5.01(A) Inc.

Registry record (NPPES)

NPI
1033653431
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
9423 S US Highway 69
Huntington, TX 75949-1515
(936) 955-5540
Enumerated
Dec 5, 2016
Record last updated
Oct 15, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.