JACQUELYN SUE JOHNSON-KRUSE R.N. NPI 1013122902

NPI Information

NPI: 1013122902
Provider Name: JACQUELYN SUE JOHNSON-KRUSE, R.N.
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
7114 HAYWARD CROSSING RD
ARENA, WI
ZIP 53503
Phone: (608) 753-2075
Get Directions

Jacquelyn Sue Johnson-kruse, R.N. is a general practice registered nurse in Arena, WI. Jacquelyn Sue Johnson-kruse, R.N. NPI is 1013122902. 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:

7114 HAYWARD CROSSING RD
ARENA, WI
ZIP 53503-317
Phone: (608) 753-2075

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/9/2007.

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	163WG0000X	Registered Nurse	General Practice	163WG0000X	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	3902114320	MEDICAID	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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