Kesha Douglas-jackson is a Maywood, Illinois based nurse practitioner with 9 years of experience in Family. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kesha Douglas-jackson is 209016670 for Family in Illinois. Her current practice location is 2160 S 1st Ave, Maywood. Patients can reach her at 872-231-3162 or can fax her at 708-795-0101. Kesha Douglas-jackson is APN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1720598071. Kesha Douglas-jackson delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Kesha Douglas-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.
PAC ID:
8820357031
Enrollment ID:
I20180116001967
NPI Number:
1720598071
NPI Enumeration Date:
01 Oct, 2017
NPI Last Update On:
08 Oct, 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 Kesha Douglas-jackson are as mentioned below.
License Number
Specialization
State
Status
209016670
Family
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kesha Douglas-jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Integrated Rehab Consultants Llc (7810184892)
112
Other Medical Identifiers:
Other legacy medical identifiers associated with Kesha Douglas-jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041410556
Other
Illinois
REGISTERED NURSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kesha Douglas-jackson Po Box 74008272, Chicago, Illinois
Zip:
60674-8272
Phone Number:
702-899-0595
Fax Number:
702-977-1496
Patients can reach Kesha Douglas-jackson at 2160 S 1st Ave, Maywood, Illinois or can call to book an appointment on 872-231-3162.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.