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Antoinette Jackson

NPI 1144196387 · on the registry since 2025 · sole proprietor

Practice

Address
3925 N 6th St
Milwaukee, WI 53212
Phone
(414) 234-7720

Registry record

Primary taxonomy
320800000X
320800000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin