Search › Wisconsin › 363LP0200X
Jenell Jackley, CPNP
NPI 1942502612 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4006 Washington Rd
Kenosha, WI 53144 - Phone
- (262) 656-0044
- Organisation at this address
- Kenosha Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 917 Sherwood Dr, Lake Bluff, IL
- 6809 122nd Ave, Kenosha, WI
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 163W00000X
163W00000X
363LP0200X - Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-07
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