Individual
JENNIFER R JACKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2500 E CAPITOL DR, SUITE 2600, APPLETON, WI 54911-8735
(920) 739-3537
(920) 739-4115
Mailing address
2500 E CAPITOL DR, SUITE 2600, APPLETON, WI 54911-8735
(920) 739-3537
(920) 739-4115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3460
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225281264
—
WI
01
—
141649-030
LICENSE
WI
01
—
3460-033
WISCONSIN LICENSE NURSE PRACTITIONER
WI
Enumeration date
11/03/2008
Last updated
10/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us