Ms. Jacqueline A Stark
CPNP | Nurse Practitioner - Pediatrics
12500 Aurora Dr, Pleasant Prairie
Wisconsin, 53158-1227
262-857-5000
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 |
| Phone: | 262-857-5000 |
| Fax: | 262-857-5001 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.