Jackson, Jennifer Nicole
Jackson, Jennifer Nicole is an sole proprietor health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Jennifer Nicole can be contacted via phone (847) 535-6150.Contact Information
Primary practice address
1000 N Westmoreland Rd
Lake Forest IL 60045-1658
Phone: (847) 535-6150
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209005759 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209005759 | Illinois |
Profile Details
NPI number | 1629285457 |
---|---|
LBN Legal business name | Jackson, Jennifer Nicole |
Credentials | ACNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 17th, 2007 |
Last updated | Feb 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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