Jodene M R Ekker, APNP

Individual provider Active NPI Adult Health Nurse Practitioner · Whitehall, WI

NPI 1801033527 · NPPES record last updated Jan 16, 2009

Key facts

NPI
1801033527
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
3609 (WI)
Practice address
18606 Ervin St
Whitehall, WI 54773-8613
Phone
(715) 538-4355
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3609 WI Yes

Addresses

Primary practice location

18606 Ervin St
Whitehall, WI 54773-8613

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other providers in Whitehall, WI

All providers in Whitehall, WI · Adult Health Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.