Ms Jacqueline A Stark, CPNP | |
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
(262) 857-5000 | |
(262) 857-5001 |
Full Name | Ms Jacqueline A Stark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811052319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1999139490 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 6437 (Wisconsin) | Primary |
Entity Name | Amg Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972741759 PECOS PAC ID: 8527117027 Enrollment ID: O20090512000348 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline A Stark, CPNP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 857-5000 | Ms Jacqueline A Stark, CPNP 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000 |
Laronda James, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3338 Fax: 262-656-3368 | |
Shannon L Yow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Mutsa Vollmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Jennifer Erich, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10256 Old Green Bay Rd Fl 2, Pleasant Prairie, WI 53158 Phone: 262-551-4200 | |
Mrs. Jennifer L. Stropkey, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8500 75th St., Ste 101, Pleasant Prairie, WI 53158 Phone: 888-938-3838 Fax: 888-919-1083 | |
Sarah M Foster, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Shelley L Johnson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 Phone: 262-577-8320 Fax: 262-577-8321 |