Healthcare Provider Details

I. General information

NPI: 1720875271
Provider Name (Legal Business Name): JAIME CORINNE KARL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 ARLINGTON ST
MARSHFIELD WI
54449-3403
US

IV. Provider business mailing address

1315 ARLINGTON ST
MARSHFIELD WI
54449-3403
US

V. Phone/Fax

Practice location:
  • Phone: 715-897-3502
  • Fax:
Mailing address:
  • Phone: 715-897-3502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number17787-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: