Search › Wisconsin › 1223G0001X
Julisa Jackson
NPI 1881524619 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10757 W Cleveland Ave
West Allis, WI 53227 - Phone
- (414) 203-6175
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-23
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