Individual
JACLYN KITZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 796-0001
Mailing address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 796-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7260
WI
363LF0000X
Family Nurse Practitioner
7260
WI
Other
Enumeration date
10/10/2016
Last updated
12/28/2021
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