Search › Wisconsin › 363L00000X
Jacqueline Stark, CPNP
NPI 1811052319 · on the registry since 2006
Practice
- Address
- 12500 Aurora Dr
Pleasant Prairie, WI 53158 - Phone
- (262) 857-5000
- Fax
- (262) 857-5001
- Organisation at this address
- Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Aurora Surgery Centers, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 10400 75th St, Kenosha, WI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LP0200X
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- WI, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin