Jackson, Melissa A

Jackson, Melissa A is an individual health care provider with primary practice located at 11101 W Lincoln Ave , West Allis WI 53227-1133. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Melissa A can be contacted via phone (262) 269-2272.

Contact Information

Primary practice address
11101 W Lincoln Ave West Allis WI 53227-1133
Phone: (262) 269-2272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 16250-30 Wisconsin
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 16250-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10436-33 Wisconsin

Profile Details

NPI number 1649888389
LBN Legal business name Jackson, Melissa A
Credentials APNP PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated Dec 29th, 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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