Mrs. Jenell Diane Jackley
CPNP | Nurse Practitioner
4006 Washington Rd, Kenosha
Wisconsin, 53144-4819
262-656-0044
Mrs. Jenell Diane Jackley is a Kenosha, Wisconsin based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Mrs. Jenell Diane Jackley is 12260-33 for Pediatrics in Wisconsin. Her current practice location is 4006 Washington Rd, Kenosha. Patients can reach her at 262-656-0044. Mrs. Jenell Diane Jackley is CPNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1942502612.
Mrs. Jenell Diane Jackley 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:
Mrs. Jenell Diane Jackley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Jenell Diane Jackley |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | 4006 Washington Rd, Kenosha,
Wisconsin, 53144-4819 |
| Phone: | 262-656-0044 |
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.
| NPI Number: | 1942502612 |
| NPI Enumeration Date: | 30 Nov, 2010 |
| NPI Last Update On: | 07 Sep, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jenell Diane Jackley are as mentioned below.
| License Number | Specialization | State | Status | |
| 12260-33 | Pediatrics | Wisconsin | Primary | |
| 041.389592 | Registered Nurse | Illinois | Secondary | |
| 163094-030 | Registered Nurse | Wisconsin | Secondary | |
| 209.010138 | Pediatrics | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Jenell Diane Jackley
316 Buck Trl,
Twin Lakes, Wisconsin |
| Zip: | 53181-9637 |
| Phone Number: | 262-914-1433 |
Patients can reach Mrs. Jenell Diane Jackley at
4006 Washington Rd, Kenosha, Wisconsin or can
call to book an appointment on 262-656-0044.
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.