IndividualActive
Jacquelyn Johnson-Kruse, R.N.
NPI 1013122902 · General Practice Registered Nurse · Arena, WI
Provider details
- NPI number
- 1013122902
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 163WG0000X (WI)
Mailing address
7114 Hayward Crossing Rd
Arena, WI 53503-9317
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.