Individual
JENNIFER REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP, FNP
Contact information
Practice address
1045 W GLEN OAKS LN STE 1, MEQUON, WI 53092-3477
(262) 241-7778
(262) 241-8200
Mailing address
1045 W GLEN OAKS LN STE 1, MEQUON, WI 53092-3477
(262) 241-7778
(262) 241-8200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5448-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5448
WI
Other
Enumeration date
04/09/2008
Last updated
07/26/2026
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