Individual provider · Type 1 NPI

Alishia Jacks

Family Nurse Practitioner · Highland Park, IL

NPI number 1851179675 Active

Practice location

3330 Skokie Valley Rd Ste 200
Highland Park, IL 60035-1041

Mailing address

650 Maryville University Dr
St. Louis, MO 63141-5849

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209028406 (IL)
Family Nurse Practitioner 363LF0000X2023032208 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1851179675

Alishia Jacks's National Provider Identifier is 1851179675, issued on Sep 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Highland Park, IL. The record was last updated on Oct 22, 2024.