Individual
JACQUELINE J CHRISTIANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
1673 NORMAN WAY, MADISON, WI 53705-1238
(608) 512-6410
Mailing address
1673 NORMAN WAY, MADISON, WI 53705-1238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7631-33
WI
363LF0000X
Family Nurse Practitioner
5766
MN
363LF0000X
Family Nurse Practitioner
Primary
F34664201
NY
Other
Enumeration date
04/11/2017
Last updated
04/24/2026
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