OrganizationActive
Balanced Baby Lactation LLC
NPI 1700728763 · Pediatric Nurse Practitioner · Twin Lakes, WI
Provider details
- NPI number
- 1700728763
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jenell Jackley, Owner(262) 914-1433
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
316 Buck Trl
Twin Lakes, WI 53181-9637
Phone: (262) 914-1433
Approximate (ZIP-level) locationGet directions
Mailing address
316 Buck Trl
Twin Lakes, WI 53181-9637
Registry dates
- Enumerated
- 2026-04-08
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.