IndividualActive
Jill Kietzke, MSN, BC-ADM
NPI 1730829508 · Health Educator · Mount Horeb, WI
Provider details
- NPI number
- 1730829508
- Entity type
- Individual
- Primary specialty
- Health EducatorOther Service Providers
- Credential
- MSN, BC-ADM
- Sex
- Female
- Sole proprietor
- No
- License
- 119707-30 (WI)
Specialties & taxonomies
Other Service Providers
Nursing Service Providers
Practice location
640 S 1st St
Mount Horeb, WI 53572-3311
Phone: (608) 512-8115
Approximate (ZIP-level) locationGet directions
Mailing address
640 S 1st St
Mount Horeb, WI 53572-3311
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.