MRS. JULIE M JACKSON (NPI# 1982971479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982971479 |
| Entity Type | Individual |
| Full Name | MRS. JULIE M JACKSON |
| Credential | NP |
| Practice Address |
725 American Ave Interventional Pain Waukesha WI 53188-5031 |
| Mailing Address |
725 American Ave Interventional Pain Waukesha WI 53189 |
| Practice Telephone | 2629288672 |
| Mailing Telephone | 2629288672 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4653-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1962031070 | Julie Marie Jackson | Licensed Vocational Nurse | 3518 Vzcr 2602, Willspoint, TX 75169 | 2020-04-02 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1902315732 | Julie Jackson | Nutritionist | 5792 Drakes Dr, Discovery Bay, CA 94505-9380 | 2017-09-25 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1568892073 | Julie Jackson | Nurse Practitioner | University of Cincinnati Academic Health Ctr, 231 Albert Sabin Way, Suite 1358, Cincinnati, OH 45267-0769 | 2013-11-19 |
| 1629204706 | Julie Anna Jackson | Behavioral Analyst | 14905 Foxhound Pl, Tampa, FL 33624-2124 | 2009-06-03 |
| 1689702128 | Julie D Jackson | Physical Therapist | 2750 Mount Pleasant St # 104, Burlington, IA 52601-2136 | 2007-02-28 |
| 1760485106 | Julie Ann Jackson | Optometrist | 11927 Cobblestone Dr, Houston, TX 77024-5053 | 2005-05-31 |
| Street Address |
725 AMERICAN AVE INTERVENTIONAL PAIN |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278292 | Margaret A Schueller | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2005-07-08 |
| 1669071809 | Alexandra Jelacic | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-10-20 |
| 1730787300 | Savanna Hofstetter | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5099 | 2020-10-15 |
| 1215542303 | Rhianna Rene Roskopf | Specialist/Technologist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-09-15 |
| 1598373060 | Jami Markos | Registered Nurse | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-21 |
| 1114535374 | Erin Renai Hernikl | Counselor | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-14 |
| 1962021469 | Jennifer Staver | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-14 |
| 1336777531 | Jennifer Marie Kolesar-springhetti | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-01 |
| 1003442179 | Sheila Hospidales | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-20 |
| 1548895709 | Dominic Chiantello | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291042 | Lynn Rose Maloney | Nurse Practitioner | 2717 N Grandview Blvd, Suite 202, Waukesha, WI 53188-1672 | 2005-10-31 |
| 1376540864 | Michelle Rae Schlomer | Nurse Practitioner | 1185 Corporate Center Dr, Suite 175 Prohealth Care Medical Associates Inc, Waukesha, WI 53188-5031 | 2005-06-30 |
| 1730787300 | Savanna Hofstetter | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5099 | 2020-10-15 |
| 1093207094 | Amanda E Weber | Nurse Practitioner | 1751 E Main St, Waukesha, WI 53186-3940 | 2018-06-05 |
| 1902208283 | Amy Hoffman | Nurse Practitioner | 2607 N Grandview Blvd, Suite 150, Waukesha, WI 53188-1686 | 2014-09-18 |
| 1548669724 | Patricia C Starr | Nurse Practitioner | 725 American Ave, Suite 508 Professional Office Building, Waukesha, WI 53188-5031 | 2014-08-14 |
| 1659783264 | Allison Fahey | Nurse Practitioner | 721 American Ave, Suite 205, Waukesha, WI 53188-5071 | 2014-05-30 |
| 1467880641 | Mollie Jenkins | Nurse Practitioner | 721 American Ave Ste 501, Waukesha, WI 53188-5071 | 2013-10-24 |
| 1588973275 | Lisa A Baker | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2010-09-29 |
| 1649597519 | Jennifer Minessale | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2010-04-30 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on MRS. JULIE M JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.