ALISHIA JACKS NPI 1851179675

NPI Information

  • NPI: 1851179675
  • Provider Name: ALISHIA JACKS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3330 SKOKIE VALLEY RD STE 200
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 386-7744

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NPI Details

Alishia Jacks is a family nurse practitioner in Highland Park, IL with 2 years of experience. Alishia Jacks NPI is 1851179675. 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:

3330 SKOKIE VALLEY RD STE 200
HIGHLAND PARK, IL
ZIP 60035-041
Phone: (847) 386-7744

The NPI 1851179675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2023 and was last updated on 10/22/2024.

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 PractitionerFamily209028406ILLINOISYes
2363LF0000XNurse PractitionerFamily2023032208MISSOURINo

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: 3/30/2025

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