Search › Wisconsin › 172A00000X
Katrina Jackson
NPI 1750255733 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3944 N 11th St
Milwaukee, WI 53206 - Phone
- (414) 837-0199
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-02
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