Individual
MISS JILLIAN MARIE O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6651-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6651-33
WI
Other
Enumeration date
09/18/2015
Last updated
12/11/2025
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