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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JILL KOCH WANGGAARD, NP

Active

Nurse Practitioner · MOUNT PLEASANT, WI

Registration Details

NPI Number
1396734034
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2005 (20.514930109354 yrs)
Last Updated
Nov 23, 2021
Licenses
74115 (WI)
74115-030 (WI)

Practice Information

Address
8400 WASHINGTON AVE
MOUNT PLEASANT, WI, 534063735
Browse WI providers · Browse ZIP 53406
Phone
2628844088
Fax
2628844078
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in MOUNT PLEASANT, WI

Name Credential NPI
KELLY KONESKO NP 1588655351
MICHELLE BREGENZER APNP 1861445546
DEAN TAJNAI NP 1063422467
SUZANA ZAMECNIK NP 1316957491
MS. LISA A IGNASIAK APNP 1720195241
MS. KIMBERLY A WOYACH DNP 1174630057
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.