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

Mrs. Jenell Diane Jackley, CPNP

Individual provider Registered Nurse · NPI 1942502612

Mrs. Jenell Diane Jackley, CPNP is a Registered Nurse in Kenosha, Wisconsin. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2010
Specialties on file
4
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

4006 Washington Rd
Kenosha, WI 53144-4819
Phone: (262) 656-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 917 Sherwood Dr, Lake Bluff, IL 60044-2203 — (847) 295-1220
  • 6809 122nd Ave, Kenosha, WI 53142-7335 — (262) 891-6600

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 12260-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 041.389592 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 163094-030 (WI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209.010138 (IL)

Record details

NPI number1942502612
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedNovember 30, 2010
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

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