Individual provider · Type 1 NPI
Glenda Elizabeth Jackson, R.N.
Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI
NPI number
1205291572
Active
Practice location
12225 71st St
Kenosha, WI 53142-7320
Fax (262) 948-4871
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice locations
- 4126 N 16th St, Milwaukee, WI 53209-6915 · (414) 544-2882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 16452 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 16452-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
11 other providers at this address
- Adam M. Stoll, MSW, APSWClinical Social Worker Kenosha, WI NPI 1023354214
- Ali Syed Pervez, DOPsychiatry Physician Kenosha, WI NPI 1679000178
- Angela Maria Martin, MSW, LCSWClinical Social Worker Kenosha, WI NPI 1417018664
- Anna Klyachkina, MDPsychiatry Physician Kenosha, WI NPI 1518928118
- Jawad PervezPsychiatry Physician Kenosha, WI NPI 1912206384
- Jill R. Lotz, APNPNurse Practitioner Kenosha, WI NPI 1679963706
- Juvaria Shahabuddin, MDPsychiatry Physician Kenosha, WI NPI 1801152673
- Katherine M. Flynn, PSY.D.Psychologist Kenosha, WI NPI 1376720359
- Linda Stoltzman, ACSW, LCSW, CADCIIIClinical Social Worker Kenosha, WI NPI 1730260050
- Stephani DiagneClinical Social Worker Kenosha, WI NPI 1023746179
- Steven Edward Kenzer, DORheumatology Physician Kenosha, WI NPI 1255432134
Other psychiatric/mental health nurse practitioner providers in Kenosha
- Christine Marie Foster, APNP, RNPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1063525913
- Christine Marie Turcotte, APNPPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1275142796
- Imelda N. Forsberg, NURSE PRACTITIONERPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1306027891
- Tylor RockwellPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1336909100
- Denise M. Gilanyi, PMHNPPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1346941606
- Logan Elyse Pockl, APNPPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1407530934
- Heidi E. Eckelberg, APNPPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1427367184
- Shauna K. Richardson, APNPPsychiatric/Mental Health Nurse Practitioner Kenosha, WI NPI 1447206511
About NPI 1205291572
Glenda Elizabeth Jackson, R.N.'s National Provider Identifier is 1205291572, issued on Dec 30, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kenosha, WI. The record was last updated on Jun 25, 2025.