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Individual

JACQUELINE LEIGH ENGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP-FNP

Contact information

Practice address
1904 1ST CENTER AVE, BRODHEAD, WI 53520-1900
(608) 897-2191
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15266
WI
363LP2300X
Primary Care Nurse Practitioner
15266
WI

Other

Enumeration date
05/30/2024
Last updated
05/18/2026
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