JENNIFER R JACKAN APNP NPI 1225281264

NPI Information

NPI: 1225281264
Provider Name: JENNIFER R JACKAN, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2500 E CAPITOL DR
SUITE 2600
APPLETON, WI
ZIP 54911
Phone: (920) 739-3537
Get Directions

Jennifer R Jackan, APNP is a family nurse practitioner in Appleton, WI. Jennifer R Jackan, APNP NPI is 1225281264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 E CAPITOL DR
SUITE 2600
APPLETON, WI
ZIP 54911-735
Phone: (920) 739-3537
Fax: (920) 739-4115

The enumeration date for this NPI number is 11/3/2008 and was last updated on 10/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3460	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W12073002	MEDICARE PIN	WISCONSIN
2	W12072002	MEDICARE PIN	WISCONSIN
3	141649-030	OTHER	WISCONSIN	LICENSE
4	W12074002	MEDICARE PIN	WISCONSIN
5	3460-033	OTHER	WISCONSIN	WISCONSIN LICENSE NURSE PRACTITIONER
6	1225281264	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »