SearchWisconsin253Z00000X

Jihad Jackson

NPI 1891224770 · on the registry since 2017

Practice

Address
8643 N Teal Ct
Milwaukee, WI 53223
Phone
(414) 334-5791
Organisation at this address
Jackson Independent Living, Llc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-07

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