SearchWisconsin101YA0400X

Jenna Jackson, SAC-IT

NPI 1003628603 · on the registry since 2025

Practice

Address
1501 Airport Rd
Waukesha, WI 53188
Phone
(262) 548-7666
Organisation at this address
Paul Brennan
Waukesha County
Waukesha County
Waukesha County
Waukesha County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
124

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin