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GEMONTASIA KIRIAQUA JACKSON
NPI 1629841200
Technician, Pathology - Phlebotomy in Milwaukee, WI

Active since November 06, 2023
2872 N 59TH ST, MILWAUKEE, WI 53210(414) 939-5802 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Nov 6, 2023 (2 updates tracked since 2023).

About Gemontasia Kiriaqua Jackson NPPES

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

GEMONTASIA KIRIAQUA JACKSON (NPI 1629841200) is an individual phlebotomy provider in Milwaukee, Wisconsin and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1629841200
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameGEMONTASIA KIRIAQUA JACKSON
Location Address2872 N 59TH STMilwaukee, WI 53210-1504
Mailing Address2872 N 59th StMilwaukee, WI 53210-1504 · (414) 939-5802
Phone(414) 939-5802
Sole ProprietorYes
Enumeration DateNovember 6, 2023
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1629841200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
2872 N 59TH ST, Milwaukee, WI 53210
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Other Providers at the Same Location NPPES

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

JACKSON LAB SERVICES LLC
Point of Service
2872 N 59TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 939-5802

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 Gemontasia Jackson's NPI number?

The NPI number for Gemontasia Jackson is 1629841200. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Gemontasia Jackson located?

Gemontasia Jackson practices at 2872 N 59th St, Milwaukee, WI 53210. The listed phone number is (414) 939-5802.

What is Gemontasia Jackson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Gemontasia Jackson was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.