JENNIFER R JACKAN APNP
NPI 1225281264
Nurse Practitioner - Family in Appleton, WI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since November 03, 2008

2500 E CAPITOL DR, SUITE 2600, APPLETON, WI 54911(920) 739-3537(920) 739-4115 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer R Jackan Apnp NPPES

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

JENNIFER R JACKAN APNP (NPI 1225281264) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (3460) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1225281264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER R JACKANCredential: APNP

Location Address2500 E CAPITOL DR, SUITE 2600Appleton, WI 54911-8735

Mailing Address2500 E Capitol Dr, Suite 2600Appleton, WI 54911-8735 · (920) 739-3537 · Fax (920) 739-4115

Phone(920) 739-3537

Fax(920) 739-4115

Sole ProprietorNo

Enumeration DateNovember 3, 2008

Last NPPES UpdateOctober 31, 2012

✔ NPI 1225281264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 3460

2500 E CAPITOL DR, Appleton, WI 54911

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Other Identifiers 6

Medicare PINW12073002WI

Medicare PINW12072002WI

Other141649-030WI · License

Medicare PINW12074002WI

Other3460-033WI · Wisconsin License Nurse Practitioner

Medicaid1225281264WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH A IHDE MD

Internal Medicine