Individual provider · Type 1 NPI

Jill Koch Wanggaard, NP

Nurse Practitioner · Mount Pleasant, WI

NPI number 1396734034 Active

Practice location

8400 Washington Ave
Mount Pleasant, WI 53406-3735

Call (262) 884-4088 Map

Fax (262) 884-4078

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Other practice locations

  • 3805B Spring St, Racine, WI 53405-1641 · (262) 687-4479

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X74115 (WI)
Family Nurse Practitioner 363LF0000X74115-030 (WI)

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 1396734034

Jill Koch Wanggaard, NP's National Provider Identifier is 1396734034, issued on Oct 15, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Nov 23, 2021.