Kellontreia Laporche Jackson is a Novi, Michigan based nurse practitioner who is specialized as Gerontology nurse. Active license number of Kellontreia Laporche Jackson is RN259383 for Gerontology in Georgia. Her current practice location is 41800 W 11 Mile Rd Ste 109, Novi. Patients can reach her at 248-660-1220. Kellontreia Laporche Jackson is A-GNP-C with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1619685534. Kellontreia Laporche Jackson is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients. Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Kellontreia Laporche Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kellontreia Laporche Jackson
Specialization:
Gerontology Nurse Practitioner (AGNP)
Gender:
Female
Credentials:
A-GNP-C
Practice Address:
41800 W 11 Mile Rd Ste 109, Novi, Michigan, 48375-1818
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1619685534
NPI Enumeration Date:
09 Nov, 2022
NPI Last Update On:
28 Jan, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellontreia Laporche Jackson are as mentioned below.
License Number
Specialization
State
Status
RN259383
Gerontology
Georgia
Primary
1176633
Gerontology
Texas
Secondary
36993
Gerontology
Tennessee
Secondary
4704420181
Gerontology
Michigan
Secondary
C-APN.0102805-C-NP
Gerontology
Colorado
Secondary
H181146
Gerontology
Iowa
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kellontreia Laporche Jackson 41800 W 11 Mile Rd Ste 109, Novi, Michigan
Zip:
48375-1818
Phone Number:
248-660-1220
Patients can reach Kellontreia Laporche Jackson at 41800 W 11 Mile Rd Ste 109, Novi, Michigan or can call to book an appointment on 248-660-1220.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.