Jenna Parks, is a
Licensed Practical Nurse based in Wausaukee, Wisconsin. Jenna Parks is licensed to practice in Wisconsin (license number 333845-31) and her current practice location is
N11941 Us Highway 141, Wausaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 856-5151.
NPI number for Jenna Parks is 1306778782 and her current mailing address is W12301 Winchester Trl, Crivitz, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306778782.
Provider's Profile
| Full Name | Jenna Parks |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | N11941 Us Highway 141, Wausaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306778782
- Provider Enumeration Date: 06/01/2026
- Last Update Date: 06/01/2026
Medical Identifiers
Medical identifiers for Jenna Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306778782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 333845-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Parks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jenna Parks, W12301 Winchester Trl, Crivitz, WI 54114-7866 Ph: (715) 856-5151 | Jenna Parks, N11941 Us Highway 141, Wausaukee, WI 54177-9300 Ph: (715) 856-5151 |
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