Jennifer Michele Gates
Individual provider Active NPI Licensed Practical Nurse · Ixonia, WI
NPI 1376956367 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1376956367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 318264-31 (WI)
- Practice address
- W2093 Gary LN
Ixonia, WI 53036-9724 - Phone
- (920) 253-5625
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318264-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 318264-31 | WI | Yes |
Addresses
Primary practice location
W2093 Gary LN
Ixonia, WI 53036-9724
Mailing address
W2093 Gary LN
Ixonia, WI 53036-9724
Phone (920) 253-5625
Other names
- Miss Jennifer Michele Krueger
Other providers in Ixonia, WI
- Angela Lynn Bubnick
- Linda Olson Douglas
- Duffy David Eberhardt
- Kim M Jaeger
- Amy L Lauersdorf
- Kerry Wayne Lynch
- Jessica M Nevermann
- Alissa Olson
All providers in Ixonia, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.