Ms. Jacqueline A Stark is a Pleasant Prairie, Wisconsin based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ms. Jacqueline A Stark is 6437 in Wisconsin. Her current practice location is 12500 Aurora Dr, Pleasant Prairie. Patients can reach her at 262-857-5000 or can fax her at 262-857-5001. Ms. Jacqueline A Stark is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1811052319. Ms. Jacqueline A Stark specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ms. Jacqueline A Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Jacqueline A Stark
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
CPNP
Practice Address:
12500 Aurora Dr, Pleasant Prairie, Wisconsin, 53158-1227
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811052319
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
28 Aug, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jacqueline A Stark are as mentioned below.
License Number
Specialization
State
Status
6437
Wisconsin
Primary
6437
Pediatrics
Wisconsin
Secondary
1999139490
Psych/Mental Health
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jacqueline A Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100046653
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Jacqueline A Stark Po Box 735044, Chicago, Illinois
Zip:
60673-5044
Phone Number:
800-326-2250
Patients can reach Ms. Jacqueline A Stark at 12500 Aurora Dr, Pleasant Prairie, Wisconsin or can call to book an appointment on 262-857-5000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.