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ANTOINETTE RAE JACKSON
NPI 1144196387
Community Based Residential Treatment Facility, Mental Illness in Milwaukee, WI

Active since October 15, 2025
3925 N 6TH ST, MILWAUKEE, WI 53212(414) 234-7720 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antoinette Rae Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE RAE JACKSON (NPI 1144196387) is an individual community based residential treatment facility, mental illness provider in Milwaukee, Wisconsin and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1144196387
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameANTOINETTE RAE JACKSON
Location Address3925 N 6TH STMilwaukee, WI 53212-1139
Mailing AddressPo Box 43Mequon, WI 53092-0043 · (414) 234-7720
Phone(414) 234-7720
Sole ProprietorYes
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1144196387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3925 N 6TH ST, Milwaukee, WI 53212
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette Jackson's NPI number?

The NPI number for Antoinette Jackson is 1144196387. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Antoinette Jackson located?

Antoinette Jackson practices at 3925 N 6th St, Milwaukee, WI 53212. The listed phone number is (414) 234-7720.

What is Antoinette Jackson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Antoinette Jackson was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.