MISS JOYCE R JACKSON NPI 1710463419

NPI Information

NPI: 1710463419
Provider Name: MISS JOYCE R JACKSON
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
3533 N 76TH ST APT 3
MILWAUKEE, WI
ZIP 53222
Phone: (414) 484-2544
Get Directions

MISS Joyce R Jackson is a case management registered nurse in Milwaukee, WI. MISS Joyce R Jackson NPI is 1710463419. 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:

3533 N 76TH ST APT 3
MILWAUKEE, WI
ZIP 53222-057
Phone: (414) 484-2544

The enumeration date for this NPI number is 7/16/2018 and was last updated on 7/16/2018.

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	163WC0400X	Registered Nurse	Case Management	219422-30	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	$$$$$$$$$	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

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