Kellontreia Laporche Jackson
A-GNP-C | Nurse Practitioner - Gerontology
37 341 Byp, Hawkinsville
Georgia, 31036-4839
478-845-4842
Kellontreia Laporche Jackson is a Hawkinsville, Georgia based nurse practitioner who is specialized as Gerontology NP. Active license number of Kellontreia Laporche Jackson is NP259383 for Gerontology NP in Georgia. Her current practice location is 37 341 Byp, Hawkinsville. Patients can reach her at 478-845-4842. Kellontreia Laporche Jackson is A-GNP-C with specialization in Gerontology NP 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: | Nurse Practitioner - Gerontology (AGNP) |
| Gender: | Female |
| Credentials: | A-GNP-C |
| Practice Address: | 37 341 Byp, Hawkinsville,
Georgia, 31036-4839 |
| Phone: | 478-845-4842 |
Professional Identification Codes:
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: | 13 May, 2026 |
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 | |
| NP259383 | Gerontology NP | Georgia | Primary | |
| 4704420181 | Gerontology NP | Michigan | Secondary | |
| 1176633 | Gerontology NP | Texas | Secondary | |
| H181146 | Gerontology NP | Iowa | Secondary | |
| C-APN.0102805-C-NP | Gerontology NP | Colorado | Secondary | |
| 36993 | Gerontology NP | Tennessee | 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
4196 Highway 62 412 Ste A,
Hardy, Arkansas |
| Zip: | 72542-8002 |
Patients can reach Kellontreia Laporche Jackson at
37 341 Byp, Hawkinsville, Georgia or can
call to book an appointment on 478-845-4842.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.