IndividualActive
Jacqueline Kuennen
NPI 1508007980 · Primary Care Nurse Practitioner · Tomah, WI
Provider details
- NPI number
- 1508007980
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 049023 (IA)
Mailing address
404 2nd Ave Ne
Waukon, IA 52172-1726
Registry dates
- Enumerated
- 2009-03-16
- Last updated
- 2009-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.