| Mrs Jacklyn Susan Backhaus, AGACNP-BC | |
|
1050 Division St, Mauston, WI 53948-1931 | |
| (608) 847-6161 | |
| Not Available |
| Full Name | Mrs Jacklyn Susan Backhaus |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1050 Division St, Mauston, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104631506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 16067-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 16067-33 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacklyn Susan Backhaus, AGACNP-BC 5522 E Overlook Cir, West Bend, WI 53095-8700 Ph: (262) 483-4014 | Mrs Jacklyn Susan Backhaus, AGACNP-BC 1050 Division St, Mauston, WI 53948-1931 Ph: (608) 847-6161 |
Jacqueline A Kemp, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
James Dennis Lierman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Kenneth L. Hallwood, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Shawn Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Tonya Wesner, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Kelly Jossart, APNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hickory St, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 |