JENNIFER R JACKAN APNP NPI 1225281264

NPI Information

  • NPI: 1225281264
  • Provider Name: JENNIFER R JACKAN, APNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2500 E CAPITOL DR
    SUITE 2600
    APPLETON, WI
    ZIP 54911
  • Phone: (920) 739-3537

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NPI Details

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
1363LF0000XNurse PractitionerFamily3460WISCONSINYes

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
1W12073002MEDICARE PINWISCONSIN
2W12072002MEDICARE PINWISCONSIN
3141649-030OTHERWISCONSINLICENSE
4W12074002MEDICARE PINWISCONSIN
53460-033OTHERWISCONSINWISCONSIN LICENSE NURSE PRACTITIONER
61225281264MEDICAIDWISCONSIN

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: 11/21/2025

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