Glenda Elizabeth Jackson is a Kenosha, Wisconsin based nurse practitioner. Active license number of Glenda Elizabeth Jackson is 16452-33 for Psych/Mental Health in Wisconsin. Her current practice location is 12225 71st St, Kenosha. Patients can reach her at 877-666-7223 or can fax her at 262-948-4871. Glenda Elizabeth Jackson is R.N. and her NPI number (Unique professional ID assigned by NPPES) is 1205291572. Glenda Elizabeth Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Glenda Elizabeth Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1205291572
NPI Enumeration Date:
30 Dec, 2015
NPI Last Update On:
25 Jun, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenda Elizabeth Jackson are as mentioned below.
License Number
Specialization
State
Status
16452-33
Psych/Mental Health
Wisconsin
Primary
16452
Nurse Practitioner
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Glenda Elizabeth Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100310731
Medicaid
Wisconsin
100310882
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Glenda Elizabeth Jackson Po Box 735044, Chicago, Illinois
Zip:
60673-5044
Phone Number:
800-326-2250
Patients can reach Glenda Elizabeth Jackson at 12225 71st St, Kenosha, Wisconsin or can call to book an appointment on 877-666-7223.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.