person
Kesha Douglas-jackson, APN
Family Nurse Practitioner in Elmhurst, Illinois
NPI 1720598071

Kesha Douglas-jackson is a Family Nurse Practitioner based in Elmhurst, IL and is specialized in Family. Kesha Douglas-jackson practices in Elmhurst, IL and has the professional credentials of APN. The NPI Number for Kesha Douglas-jackson is 1720598071 and holds a License No. 209016670 (Illinois).

The current practice location address for Kesha Douglas-jackson is 205 E Butterfield Rd # 297, Elmhurst, IL and can be reached out via phone at 708-795-0100 and via fax at 708-795-0101.

Location: 205 E Butterfield Rd # 297, Elmhurst, IL, 60126-0745
person
Provider Profile Details
NPI Number
1720598071
Provider Name
Kesha Douglas-jackson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
205 E Butterfield Rd # 297, Elmhurst, IL, 60126-0745
Phone Number
708-795-0100
Fax Number
708-795-0101
Provider Enumeration Date
10/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041410556 01 IL REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
205 E Butterfield Rd # 297
City
State
Zip
60126-5103
Phone Number
708-795-0100
Fax Number
708-795-0101
person
Provider Business Mailing Address Details
Address
205 E Butterfield Rd # 297
City
State
Zip
60126-5103
Phone Number
708-795-0100
Fax Number
708-795-0101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209016670 (Illinois)
Definition
Definition to come...
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