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Jamie L Kivisto
Nurse Practitioner in West Allis, Wisconsin
NPI 1568074359

Jamie L Kivisto is a Nurse Practitioner based in Chicago, WI. Jamie L Kivisto practices in West Allis, WI. The NPI Number for Jamie L Kivisto is 1568074359 and holds a License No. 9898-33 (Wisconsin).

The current practice location address for Jamie L Kivisto is 6609 W Greenfield Ave, West Allis, WI and can be reached out via phone at 414-257-8577. You can also correspond with Jamie L Kivisto through the mailing address at PO BOX 735044, CHICAGO, IL - 60673-5044 (mailing address contact number: ).

Location: 6609 W Greenfield Ave, West Allis, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568074359
Provider Name
Jamie L Kivisto
Credential
Provider Entity Type
Individual
Gender
Female
Address
6609 W Greenfield Ave, West Allis, WI, 60673-5044
Phone Number
414-257-8577
Fax Number
Provider Enumeration Date
08/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100134118 05 WI
institution
Provider Business Practice Location Address Details
Address
6609 W Greenfield Ave
City
West Allis
State
Wisconsin
Zip
53214-4958
Phone Number
414-257-8577
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 735044
City
Chicago
State
Illinois
Zip
60673-5044
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
9898 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9898-33 (Wisconsin)
Definition
Definition to come...
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