SERENA JEFFERSON-JACKSON NPI 1972459352

NPI Information

  • NPI: 1972459352
  • Provider Name: SERENA JEFFERSON-JACKSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: PO BOX 528135
    CHICAGO, IL
    ZIP 60652
  • Phone: (630) 426-8963

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NPI Details

Serena Jefferson-jackson is a psychiatric/mental health nurse practitioner in Chicago, IL. Serena Jefferson-jackson NPI is 1972459352. 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:

PO BOX 528135
CHICAGO, IL
ZIP 60652-135
Phone: (630) 426-8963

The enumeration date for this NPI number is 3/7/2026 and was last updated on 3/7/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health209.034924ILLINOISYes

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

NPI Synchronization or Removal

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