Lisa R. Jackson, N.P.

Nurse Practitioner · Lake Barrington, IL

Individual Active NPI

NPI number 1316980766

Practice location

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone
(847) 882-6604
Fax
(847) 882-6228

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NPI record

NPI
1316980766
Entity type
Individual (Type 1)
Enumeration date
June 14, 2006
Last updated
March 9, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 309002626 IL

About Lisa Jackson

Lisa R. Jackson, N.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010-2538. The NPI number 1316980766 was assigned on June 14, 2006 and the record was last updated on March 9, 2017.

Lisa Jackson lists a license in the registry: #309002626 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa R. Jackson, N.P.?

The NPI number is 1316980766.

What is the phone number of Lisa Jackson?

The phone number listed for the practice location is (847) 882-6604.

Where is Lisa Jackson located?

22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010-2538.

What is the taxonomy code for Lisa Jackson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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