Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTOINETTE RAE JACKSON
Active Sole ProprietorANTOINETTE RAE JACKSON is a Psychiatric Residential Treatment Facility healthcare provider located in MILWAUKEE, Wisconsin. NPI 1144196387 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · MILWAUKEE, WI
Registration Details
- NPI Number
- 1144196387
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2025 (0.86005859499845 yrs)
- Last Updated
- Oct 15, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3925 N 6TH STMILWAUKEE, WI, 532121139Browse WI providers · Browse ZIP 53212
- Phone
- 4142347720
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| BRIANNA SMITH | CBRF CERTIFIED | 1306502240 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.