JODI CORINNE DELAGRAVE APNP DNP NPI 1811998545

NPI Information

NPI: 1811998545
Provider Name: JODI CORINNE DELAGRAVE, APNP, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1130 W SUNSET DR
WAUKESHA, WI
ZIP 53189
Phone: (800) 389-2727
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Jodi Corinne Delagrave, APNP, DNP is a family nurse practitioner in Waukesha, WI. Jodi Corinne Delagrave, APNP, DNP NPI is 1811998545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1130 W SUNSET DR
WAUKESHA, WI
ZIP 53189-422
Phone: (800) 389-2727

The enumeration date for this NPI number is 8/3/2005 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4470	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	1271	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43878800	MEDICAID	WISCONSIN
2	528514	OTHER	WISCONSIN	UGS MEDICARE
3	528513	OTHER	WISCONSIN	UGS MEDICARE
4	61106	OTHER	WISCONSIN	DEAN HEALTH SYSTEMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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