IndividualActive
Jackie Mathews
NPI 1679461081 · Neonatal Nurse Practitioner · La Crosse, WI
Provider details
- NPI number
- 1679461081
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 16966-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1900 South Ave
La Crosse, WI 54601-5467
Phone: (608) 775-3375
Approximate (ZIP-level) locationGet directions
Mailing address
17208 Kendall Ave
Norwalk, WI 54648-7002
Registry dates
- Enumerated
- 2025-06-25
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.