SERENA JEFFERSON-JACKSON
NPI 1972459352
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 07, 2026
PO BOX 528135, CHICAGO, IL 60652(630) 426-8963 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SERENA JEFFERSON-JACKSON

This page provides the complete NPI Profile along with additional information for Serena Jefferson-jackson, a provider established in Chicago, Illinois with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1972459352 assigned on March 2026. The practitioner's primary taxonomy code is 363LP0808X with license number 209.034924 (IL). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1972459352 Verify this NPI
Provider Name
SERENA JEFFERSON-JACKSON
Gender
Female
Entity Type
Individual
Location Address
PO BOX 528135 CHICAGO, IL 60652
Location Phone
(630) 426-8963
Mailing Address
PO BOX 528135 CHICAGO, IL 60652
Mailing Phone
(630) 426-8963
Is Sole Proprietor?
No
Enumeration Date
03-07-2026
Last Update Date
03-07-2026
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A nurse practitioner (NP) like Serena Jefferson-jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209.034924
License State
IL

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972459352, enumerated as an "individual" on March 07, 2026.

The provider is located at PO BOX 528135 CHICAGO, IL 60652 and the phone number is (630) 426-8963.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.