Search › Wisconsin › 251E00000X
Aisha Jackson
NPI 1194487272 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1951 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212 - Phone
- (414) 807-6656
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-06
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