Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENELL DIANE JACKLEY, CPNP
Active Sole ProprietorMRS. JENELL DIANE JACKLEY, CPNP is a Pediatric Nurse Practitioner healthcare provider located in KENOSHA, Wisconsin. NPI 1942502612 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · KENOSHA, WI
Registration Details
- NPI Number
- 1942502612
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2010 (15.671887536005 yrs)
- Last Updated
- Sep 7, 2023
- Licenses
-
041.389592 (IL)163094-030 (WI)209.010138 (IL)12260-33 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4006 WASHINGTON RDKENOSHA, WI, 531444819Browse WI providers · Browse ZIP 53144
- Phone
- 2626560044
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. TANYA M. HOAR | NP | 1891933552 |
| AEMELIA ANNE TALLEN-WHITED | CPNP | 1831402734 |
| LORI ELLA WYSONG | CPNP-PC | 1881046324 |
| ALISON D FRITSCHLER | APNP | 1912496290 |
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.