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

Julisa Jackson

Individual provider General Practice Dentistry · NPI 1881524619

Julisa Jackson is a General Practice Dentistry in West Allis, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

10757 W Cleveland Ave
West Allis, WI 53227-3211
Phone: (414) 203-6175
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 600229415 (WI)

Record details

NPI number1881524619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address9760 Nw 1st Mnr, Coral Springs, FL 33071-4903

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