Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gemontasia Kiriaqua Jackson

Individual provider Phlebotomy Technician · NPI 1629841200

Gemontasia Kiriaqua Jackson is a Phlebotomy Technician in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2872 N 59th St
Milwaukee, WI 53210-1504
Phone: (414) 939-5802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X

Record details

NPI number1629841200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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