Individual provider · Type 1 NPI

Jessalynn Hietpas

Registered Nurse · Appleton, WI

NPI number 1093628208 Active

Practice location

131 E Washington St Ste 1A
Appleton, WI 54911-5447

Mailing address

2305 W Capitol Dr
Appleton, WI 54914-6831

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X163788-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1093628208

Jessalynn Hietpas's National Provider Identifier is 1093628208, issued on Sep 28, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Appleton, WI. The record was last updated on Sep 28, 2026.