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

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: August 16, 2026.

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
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

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.

Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine (Hematology & Oncology)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911

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 Jennifer Jackan's NPI number?

The NPI number for Jennifer Jackan is 1225281264. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Jennifer Jackan located?

Jennifer Jackan practices at 2500 E Capitol Dr Suite 2600, Appleton, WI 54911. The listed phone number is (920) 739-3537.

What is Jennifer Jackan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackan was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.