Individual provider · Type 1 NPI
Jeremy L. Kaup, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Sturtevant, WI
NPI number
1649970773
Active
Practice location
3224 Kennsington Square Rd
Sturtevant, WI 53177-2821
Fax (262) 419-3818
Mailing address
212 4th St
Racine, WI 53403-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 13690-33 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13690-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1649970773
Jeremy L. Kaup, PMHNP's National Provider Identifier is 1649970773, issued on Mar 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sturtevant, WI. The record was last updated on Feb 5, 2025.