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Mrs. Jenell Diane Jackley, CPNP
Pediatric Nurse Practitioner in Kenosha, Wisconsin
NPI 1942502612

Jenell Diane Jackley is a Pediatric Nurse Practitioner based in Twin Lakes, WI and is specialized in Pediatrics. Jenell Diane Jackley practices in Kenosha, WI and has the professional credentials of CPNP. The NPI Number for Jenell Diane Jackley is 1942502612 and holds a License No. 041.389592 (Wisconsin).

The current practice location address for Jenell Diane Jackley is 4006 Washington Rd, Kenosha, WI and can be reached out via phone at 262-656-0044. You can also correspond with Jenell Diane Jackley through the mailing address at 316 BUCK TRL, TWIN LAKES, WI - 53181-9637 (mailing address contact number: 262-914-1433).

Location: 4006 Washington Rd, Kenosha, WI, 53181-9637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942502612
Provider Name
Jenell Diane Jackley
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
4006 Washington Rd, Kenosha, WI, 53181-9637
Phone Number
262-656-0044
Fax Number
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4006 Washington Rd
City
Kenosha
State
Wisconsin
Zip
53144-4819
Phone Number
262-656-0044
Fax Number
person
Provider Business Mailing Address Details
Address
4006 Washington Rd
City
Kenosha
State
Wisconsin
Zip
53144-4819
Phone Number
262-656-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
163094-030 (Wisconsin)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
041.389592 (Illinois)
Definition
Definition to come...
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