MEDICARE: AISHA JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	100044007	WI

General Provider Information

NPI Number	:	1194487272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA JACKSON

Provider Business Mailing Address
First Line	:	1951 N DR MARTIN LUTHER KING JR DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3641
Country	:	US
Telephone Number	:	414-807-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 N DR MARTIN LUTHER KING JR DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3641
Country	:	US
Telephone Number	:	414-807-6656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	10/06/2021

Similar Medicare Providers

1174468961 — RELIABLE FAMILY SERVICES LLC
Practice Location Address:

1951 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-3641

Practice Phone: 414-807-6656
Practice Fax: 414-807-6656

1407790769 — RELIABLE FAMILY TRANSPORTATION
Practice Location Address:

1951 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-3641

Practice Phone: 414-803-3673
Practice Fax:

1629800164 — DOULUV BIRTHING HANDS
Practice Location Address:

3641 N 21ST ST
MILWAUKEE, WI
53206-1811

Practice Phone: 414-630-4307
Practice Fax:

1699650382 — ANNIES PLACE OF CARE
Practice Location Address:

3641 N 25TH ST
MILWAUKEE, WI
53206-1330

Practice Phone: 414-305-1161
Practice Fax:

1326363896 — EVAN STERLING PLOWGIAN MD
Practice Location Address:

2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2312

Practice Phone: 414-508-0002
Practice Fax: 888-355-6851

1487627568 — DR. KATHERINE R LICHTENBERG D.O.
Practice Location Address:

2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2312

Practice Phone: 414-508-0002
Practice Fax: 888-355-6851

Directions to “ AISHA JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.