Individual provider · Type 1 NPI
Serena Jefferson-Jackson
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1972459352
Active
Practice location
PO Box 528135
Chicago, IL 60652-8135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.034924 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972459352
Serena Jefferson-Jackson's National Provider Identifier is 1972459352, issued on Mar 7, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Mar 7, 2026.