Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144406448 Individual Practitioner Female Practitioner

Dr. Stephanie M Jackson , PharmD

Pharmacist • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Jackson, PharmD is a registered healthcare professional specializing in Pharmacist in Fond Du Lac, WI. Practice services are available at 210 WISCONSIN AMERICAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 Wisconsin American Dr

Fond Du Lac, WI 549352999

Telephone 9209077260
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1518991736

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Fond Du Lac, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 14642040

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeanette Roehl , APNP FNP

Nurse Practitioner

NPI 1003593740

APNPFNP

Nichole Nelson , APNP

Nurse Practitioner

NPI 1013530724

Advanced Practice Nurse Prescriber

Theresa Baseley , NP

Nurse Practitioner

NPI 1043279805

Nurse Practitioner

NPI 1043327265

Doctor of Medicine (M.D.)

NPI 1083718258

Doctor of Medicine (M.D.)

Janet Teske , APNP

Nurse Practitioner

NPI 1093861528

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2008

Registered at 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 549352999 (Tel: 9209077260)

📍
Updated Business Mailing Address January 16, 2008

Registered at 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 549352999 (Tel: 9209077260)

👤
Provider Name / Credentials Updated January 16, 2008

Recorded as STEPHANIE JACKSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2008

Pharmacist (License #14642040 in WI)

🟢
Initial NPI Registration & Enumeration January 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144406448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2008
Last Update: January 16, 2008
Sole Proprietor: No

Mailing Address

210 Wisconsin American Dr

Fond Du Lac, WI 549352999

Phone: 9209077260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.