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Search › Wisconsin › Psychiatric/Mental Health Nurse Practitioner

Glenda Jackson, R.N

NPI 1205291572 · on the registry since 2015 · sole proprietor

Practice

Address
12225 71st St
Kenosha, WI 53142
Phone
(877) 666-7223
Fax
(262) 948-4871
Clinicians at this address
13

Additional practice sites

  • 4126 N 16th St, Milwaukee, WI

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363L00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-25

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