Individual provider · Type 1 NPI
Jennifer L. Van Matre-Wattles, NP
Psychiatric/Mental Health Nurse Practitioner · Waukesha, WI
NPI number
1821730193
Active
Practice location
W231N1440 Corporate Ct
Waukesha, WI 53186-1303
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 11873 (WI) |
| Nurse Practitioner | 363L00000X | 163519 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11873 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821730193
Jennifer L. Van Matre-Wattles, NP's National Provider Identifier is 1821730193, issued on Apr 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukesha, WI. The record was last updated on Apr 29, 2025.