Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENDA ELIZABETH JACKSON, R.N.
Active Sole ProprietorGLENDA ELIZABETH JACKSON, R.N. is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in KENOSHA, Wisconsin. NPI 1205291572 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · KENOSHA, WI
Registration Details
- NPI Number
- 1205291572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2015 (10.645265224575 yrs)
- Last Updated
- Jun 25, 2025
- Licenses
-
16452 (WI)16452-33 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12225 71ST STKENOSHA, WI, 531427320Browse WI providers · Browse ZIP 53142
- Phone
- 8776667223
- Fax
- 2629484871
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| SHAUNA K RICHARDSON | APNP | 1447206511 |
| CHRISTINE MARIE FOSTER | APNP, RN | 1063525913 |
| JENNIE L PETERS | PMHNP-BC, FNP | 1477743995 |
| MRS. SHERILYN CATHERINE KLAMM | RN, APNP, PMHNP-BC | 1619154994 |
| MS. ALYSSA SKALITZKY | APNP | 1598906596 |
| HEIDI E ECKELBERG | APNP | 1427367184 |
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.