Jenell Jackley, CPNP

Individual Active
NPI 1942502612
Pediatric Nurse Practitioner Kenosha, WI

NPI 1942502612 belongs to Jenell Jackley, CPNP, a pediatric nurse practitioner with a practice location in Kenosha, WI. The NPI was issued on November 30, 2010, and the record was last updated in NPPES on September 7, 2023. The record lists 4 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 12260-33 (WI)
Registered Nurse 163W00000X 041.389592 (IL)
Registered Nurse 163W00000X 163094-030 (WI)
Pediatric Nurse Practitioner 363LP0200X 209.010138 (IL)

Practice locations

4006 Washington Rd
Kenosha, WI 53144-4819
Phone: (262) 656-0044
6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 891-6600
917 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone: (847) 295-1220

Local context

Active NPPES records list 27 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 7 of them within 10 miles.

The same primary taxonomy is listed by 406 in Wisconsin and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Jenell Diane Jackley
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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