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Individual
MELISSA A JACKSON
Active
Individual
MELISSA A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
16250-30
WI
163WX0003X
Inpatient Obstetric Registered Nurse
16250-30
WI
363L00000X
Nurse Practitioner
10436-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10436-33
WI
Other
Enumeration date
07/20/2020
Last updated
05/22/2026
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