MRS. Jacklyn Susan Backhaus, AGACNP-BC

NPI #1104631506 in Mauston, Wisconsin

Provider Information

NPI Number: 1104631506
Entity Type: Individual
Name: MRS. Jacklyn Susan Backhaus, AGACNP-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: AGACNP-BC
Enumeration Date: Feb 11, 2025
Last Updated: Mar 27, 2025

Practice Location

Address: 1050 DIVISION ST
City: Mauston
State: Wisconsin
ZIP Code: 53948-1931
Phone: (608) 847-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Nurse Practitioner	363L00000X	Primary

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