Individual provider · Type 1 NPI

Jill R. Lotz, APNP

Nurse Practitioner · Kenosha, WI

NPI number 1679963706 Active

Practice location

12225 71st St
Kenosha, WI 53142-7320

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X6197 (WI)
Nurse Practitioner Primary 363L00000X6197 (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 1679963706

Jill R. Lotz, APNP's National Provider Identifier is 1679963706, issued on Jan 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 9, 2025.