JENELL DIANE JACKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010138

License Status

ACTIVE

Business

First Name

JENELL

Middle

DIANE

Last Name

JACKLEY

Business Name

JENELL DIANE JACKLEY

Original Issue Date

12/21/2012

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

TWIN LAKES

State

Zip

53181

Ever Disciplined

LastModifiedDate

03/02/2026