Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKLYN SUSAN BACKHAUS, AGACNP-BC
ActiveNurse Practitioner · MAUSTON, WI
Registration Details
- NPI Number
- 1104631506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2025 (1.2244574680175 yrs)
- Last Updated
- Mar 27, 2025
- Licenses
-
16067-33 (WI)16067-33 (WI)
Practice Information
- Address
-
1050 DIVISION STMAUSTON, WI, 539481931Browse WI providers · Browse ZIP 53948
- Phone
- 6088476161
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in MAUSTON, WI
| Name | Credential | NPI |
|---|---|---|
| CATHLEEN ELIZABETH MURPHY | NP | 1861483802 |
| CRISTINA ANN CUSTER | NP | 1548241821 |
| TONYA WESNER | FNP | 1689257503 |
| SHAWN JOHNSON | — | 1679245898 |
| KELLY JOSSART | APNP, PMHNP-BC | 1689391674 |
| SABRINA MARIE MORTENSEN | FNP-C | 1801781588 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.