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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEMETRIUS EMMANUEL JACKSON
NPI 1922902287
Registered Nurse - Pediatrics in Madison, WI

Active since October 07, 2026
701 HIGHLAND AVE, MADISON, WI 53705(608) 263-5200 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Demetrius Emmanuel Jackson NPPES

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

DEMETRIUS EMMANUEL JACKSON (NPI 1922902287) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (1102063-30) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1922902287
Entity TypeIndividualMale
Primary Taxonomy163WP0200X
Provider Legal NameDEMETRIUS EMMANUEL JACKSON
Location Address701 HIGHLAND AVEMadison, WI 53705-2202
Mailing Address701 Highland AveMadison, WI 53705-2202
Phone(608) 263-5200
Sole ProprietorNo
Enumeration DateOctober 7, 2026
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1922902287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License✔ Licensed in WI · 1102063-30
701 HIGHLAND AVE, Madison, WI 53705
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Other Providers at the Same Location NPPES 11

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

DR. ANN MARIE WIEBEN PHD RN
Registered Nurse
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 265-1029
DENETTE AMANDA PLANSKY WILLIAMS RN
Student in an Organized Health Care Education/Training Program
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200
MADELYNN GUMS RN
Student in an Organized Health Care Education/Training Program
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200
DOMINIQUE JAMISON
Student in an Organized Health Care Education/Training Program
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200
CHRISTY TRINH NGUYEN
Student in an Organized Health Care Education/Training Program
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200
MRS. ALYSSA HAURE MSN, RN, CNE
Registered Nurse
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (847) 840-4000
KRISTIN NICOLE MARTENS RN
Registered Nurse
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200
DAVIS GABRIEL KOLMORGEN
Registered Nurse
701 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-5200

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 Demetrius Jackson's NPI number?

The NPI number for Demetrius Jackson is 1922902287. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Demetrius Jackson located?

Demetrius Jackson practices at 701 Highland Ave, Madison, WI 53705. The listed phone number is (608) 263-5200.

What is Demetrius Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Demetrius Jackson was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.