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Vickie Jackson
NPI 1407161599 · on the registry since 2010 · sole proprietor
Practice
- Address
- 7809 W Beckett Ave
Milwaukee, WI 53218 - Phone
- (414) 535-9892
- Fax
- (414) 535-9892
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-12
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