Individual provider · Type 1 NPI

Katie Jean Des Jardins

Nurse Practitioner · Appleton, WI

NPI number 1982075701 Active

Practice location

1301 E Northland Ave Ste B
Appleton, WI 54911-8582

Fax (920) 731-3729

Other practice locations

  • 1301 E Northland Ave Ste B, Appleton, WI 54911-8582 · (920) 731-1999

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X247937-30 (WI)
Athletic Trainer 2255A2300X1922-39 (WI)
Nurse Practitioner Primary 363L00000X14228-33 (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 1982075701

Katie Jean Des Jardins's National Provider Identifier is 1982075701, issued on Oct 20, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Feb 27, 2025.