Healthcare Provider Details

I. General information

NPI: 1003744723
Provider Name (Legal Business Name): JILL DREGER BSN RN NCSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 WAINWRIGHT AVE
BURLINGTON WI
53105-2269
US

IV. Provider business mailing address

209 WAINWRIGHT AVE
BURLINGTON WI
53105-2269
US

V. Phone/Fax

Practice location:
  • Phone: 262-763-0210
  • Fax: 262-763-0215
Mailing address:
  • Phone: 262-763-0210
  • Fax: 262-763-0215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number106753-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: