Jackson, Lisa R.

Jackson, Lisa R. is an individual health care provider with primary practice located at 22285 N Pepper Rd Suite 401, Lake Barrington IL 60010-2538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Lisa R. can be contacted via phone (847) 882-6604.

Contact Information

Primary practice address
22285 N Pepper Rd Suite 401 Lake Barrington IL 60010-2538
Phone: (847) 882-6604
Fax: (847) 882-6228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 309002626 Illinois

Profile Details

NPI number 1316980766
LBN Legal business name Jackson, Lisa R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 9th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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