Jenna Marie Maiorelle, APRN-NP

Individual provider Active NPI Nurse Practitioner · Milwaukee, WI

NPI 1740199264 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1740199264
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
19029-033 (WI)
Practice address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone
(414) 955-7040
Fax
(414) 955-0175
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19029-033 WI Yes

Addresses

Primary practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-7040

Other identifiers

IdentifierTypeStateIssuer
1740199264MedicaidWI

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Nurse Practitioner in Wisconsin

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.