Therese L. Jaeckle MSN, APNP

NPI 1063696516 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1063696516
Gender Female
Enumeration Date 12/19/2007
Last Updated 02/04/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
CEDARBURG WI, 53012-2768, US
Phone (262) 375-1116
Business Location
4670 N 143RD ST
BROOKFIELD WI, 53005-1664, US
Phone (262) 781-0297
Taxonomy Code 363LF0000X
License State Wisconsin
License Number 3319-033
Remove 1063696516 NPI Number

According to our database, Mrs. Therese L. Jaeckle MSN, APNP NPI is 1063696516, taxonomy code is 363LF0000X and license number is 3319-033, license state is located at Wisconsin. Therese L. Jaeckle MSN, APNP physically located at W62n248 Washington Ave, Cedarburg WI, 53012-2768. NPI Number Therese L. Jaeckle MSN, APNP has the Individual type.

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1063696516 NPI number is provided on an as is basis without warranty of any kind. 1063696516 is maintained by the National Plan & Provider Enumeration System. The contents of Therese L. Jaeckle MSN, APNP are for informational purposes only.