MS. Jacqueline A Stark, CPNP
NPI #1811052319 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1811052319
- Entity Type
- Individual
- Name
- MS. Jacqueline A Stark, CPNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CPNP
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 12500 AURORA DR
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1227
- Phone
- (262) 857-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner |
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