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

MS. JACQUELINE A STARK, CPNP

Active

MS. JACQUELINE A STARK, CPNP is a Nurse Practitioner healthcare provider located in PLEASANT PRAIRIE, Wisconsin. NPI 1811052319 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PLEASANT PRAIRIE, WI

Registration Details

NPI Number
1811052319
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2006 (19.44702343412 yrs)
Last Updated
Aug 28, 2024
Licenses
6437 (WI)
1999139490 (MO)
6437 (WI)

Practice Information

Address
12500 AURORA DR
PLEASANT PRAIRIE, WI, 531581227
Browse WI providers · Browse ZIP 53158
Phone
2628575000
Fax
2628575001
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in PLEASANT PRAIRIE, WI

Name Credential NPI
SHELLEY L JOHNSON APNP 1750603130
AMANDA UMNUS APNP 1619311040
ALMA L COLGROVE FNP 1518389683
SARAH M FOSTER N.P. 1720494321
DENNIS M ORELLANA BONILLA NP 1992177976
HEIDI CAPODARCO APNP 1669992004
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.