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

Individual provider Non-emergency Medical Transport (VAN) · NPI 1538870944

Stennen N Jackson is a Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

2607 W Custer Ave
Milwaukee, WI 53209-4946
Phone: (414) 539-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2607 W Custer Ave, Milwaukee, WI 53209-4946 — (414) 539-9903

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X

Record details

NPI number1538870944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address2607 W Custer Ave, Milwaukee, WI 53209-4946

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