Individual provider · Type 1 NPI

Neha Jackson

Family Nurse Practitioner · Rockford, IL

NPI number 1275186397 Active

Practice location

1340 Charles St Ste 300
Rockford, IL 61104-2200

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XA155588 (IA)
Family Nurse Practitioner Primary 363LF0000X209-021317 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1275186397

Neha Jackson's National Provider Identifier is 1275186397, issued on Jul 17, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Apr 14, 2021.