Janell R Jacques, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

218535 Issued in WI

Practice address

1981 Greengrove St
Kaukauna, WI 54130-3921

Phone

(920) 759-4436

NPI assigned

Oct 30, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1104152875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 E PARIS WAY APT 8",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138298",
            "telephone_number": "920-810-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 GREENGROVE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303921",
            "telephone_number": "920-759-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "JANELL",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "311511-031",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "218535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Higgins, P.T.A.
• Kimberly Huntley
• Laura Huss, DPT
• Nichole L Huss, LPC
• Indigo Health and Wellness
• Michelle L Jahnke, RN
• Jonathan K Jandrin, MSN, FNP-C
• Emily A Jansen
• John N Krupka DDS SC
• Erin Mae Johnson, PA-C

• Registered Nurse in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.