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

Kesha Douglas-Jackson, APN

Individual provider Family Nurse Practitioner · NPI 1720598071

Kesha Douglas-Jackson, APN is a Nurse Practitioner in Maywood, Illinois. Qualified in 2016, 10 years ago. Practices with Integrated Rehab Consultants LLC, a 164-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (872) 231-3162
Fax: (708) 795-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016670 (IL)

Record details

NPI number1720598071
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedOctober 1, 2017
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Integrated Rehab Consultants Llc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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