Individual
JESSICA KRUPINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 HOSPITAL DR STE 212, WATERTOWN, WI 53098-3336
(920) 471-4044
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5387-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185207
—
WI
05
—
1104415835
—
WI
Enumeration date
01/17/2021
Last updated
10/31/2025
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