Cynthia Diane Jackson, LPN - Licensed Practical Nurse in Waukesha, WI

Cynthia Diane Jackson, LPN is a Licensed Practical Nurse based in Waukesha, Wisconsin. Cynthia Diane Jackson is licensed to practice in Wisconsin (license number 305199-31) and her current practice location is 1315 Camden Way, Unit B, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 408-2606.

NPI number for Cynthia Diane Jackson is 1588922934 and her current mailing address is 1315 Camden Way, Unit B, Waukesha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588922934.

Contact Information

Cynthia Diane Jackson, LPN
1315 Camden Way, Unit B,
Waukesha, WI 53186-6850
(262) 408-2606
Not Available



Provider's Profile

Full NameCynthia Diane Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location1315 Camden Way, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588922934
  • Provider Enumeration Date: 04/23/2012
  • Last Update Date: 04/23/2012

Medical Identifiers

Medical identifiers for Cynthia Diane Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588922934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 305199-31 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia Diane Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cynthia Diane Jackson, LPN
1315 Camden Way, Unit B,
Waukesha, WI 53186-6850

Ph: (262) 408-2606
Cynthia Diane Jackson, LPN
1315 Camden Way, Unit B,
Waukesha, WI 53186-6850

Ph: (262) 408-2606

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Licensed Practical Nurse Nurses in Waukesha, WI

Elissa M Derksen, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    
Maureen E Burke, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Lisa Diane Sharkey, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Deborah Lynn Rozelle, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Victoria Champeau, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Ricky F Baumann,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Cheryl Metcalf, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 817 Michigan Ave, Waukesha, WI 53188
Phone: 262-370-2366    

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