Individual
RASHECA S JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP / PMHNP
Contact information
Practice address
1515 N HARLEM AVE STE 101, OAK PARK, IL 60302-1205
(708) 948-7039
Mailing address
1515 N HARLEM AVE STE 101, OAK PARK, IL 60302-1205
(708) 948-7039
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277001472
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMH11250029
IL
Other
Enumeration date
07/28/2019
Last updated
01/07/2026
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