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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER NICOLE JACKSON, ACNP

Active Sole Proprietor

Nurse Practitioner · LAKE FOREST, IL

Registration Details

NPI Number
1629285457
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2007 (18.936021182038 yrs)
Last Updated
Feb 4, 2020
Licenses
209005759 (IL)
209005759 (IL)
Sole Proprietor
Yes

Practice Information

Address
1000 N WESTMORELAND RD
LAKE FOREST, IL, 600451658
Browse IL providers · Browse ZIP 60045
Phone
8475356150
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in LAKE FOREST, IL

Name Credential NPI
JEANINE HARSHBARGER FNP 1871583179
NANCY M DOHERTY NP 1306815006
MELISSA A KREITER RN, APRN 1992013791
SHERYL GIESE APRN, CNP 1801165436
KELLY KATHLEEN FORSTER IVY CNM, WHNP-BC 1649514316
HEATHER ANNE SANDLER APRN, CNP 1225469752
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.