Individual provider · Type 1 NPI
Tobin Jacob Tito, APN-CNP
Nurse Practitioner · Kenosha, WI
Practice location
6308 8th Ave
Kenosha, WI 53143-5031
Mailing address
1004 Crystal Ct
Glenview, IL 60025-2682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209021978 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209.021978 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124616602
Tobin Jacob Tito, APN-CNP's National Provider Identifier is 1124616602, issued on Jan 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on May 11, 2026.