Individual
JONATHAN TYLER HOERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APNP, PMHNP-BC
Contact information
Practice address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
(414) 427-5311
Mailing address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
(414) 427-5311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871284406
—
WI
Enumeration date
05/16/2023
Last updated
04/09/2025
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