Kesha Douglas-jackson
APN | Nurse Practitioner - Family | 10+ years Exp
2160 S 1st Ave, Maywood
Illinois, 60153-3328
872-231-3162
Kesha Douglas-jackson is a Maywood, Illinois based nurse practitioner with 10 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.
| Name: | Kesha Douglas-jackson |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | APN |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2160 S 1st Ave, Maywood,
Illinois, 60153-3328 |
| Phone: | 872-231-3162 |
| Fax: | 708-795-0101 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.