MEDICARE: JODI L WILDE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	151348	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598013534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI L WILDE NP

Provider Business Mailing Address
First Line	:	4202 W OAKWOOD PARK CT STE 200
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-9565
Country	:	US
Telephone Number	:	414-423-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	4202 W OAKWOOD PARK CT STE 200
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-9565
Country	:	US
Telephone Number	:	414-423-5250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2012
Last Update Date	:	11/07/2023

Similar Medicare Providers

1730013467 — CORINA NICOLE DRZEWIECKI MSN, APRN, FNP-BC
Practice Location Address:

4202 W OAKWOOD PARK CT STE 110
FRANKLIN, WI
53132-9565

Practice Phone: 262-297-7246
Practice Fax:

1578573382 — JENNIFER THOMAS M.D.
Practice Location Address:

4202 W. OAKWOOD PARK CT. , STE 200
FRANKLIN, WI
53132-9565

Practice Phone: 414-423-5250
Practice Fax: 414-423-5256

1992976286 — DEBRA MARIE PENDERGAST NP
Practice Location Address:

4202 W OAKWOOD PARK CT STE 200
FRANKLIN, WI
53132-9565

Practice Phone: 414-423-5250
Practice Fax:

1518373166 — VERONICA LORELEI ZIMMER APNP
Practice Location Address:

4202 W OAKWOOD PARK CT STE 200
FRANKLIN, WI
53132-9565

Practice Phone: 414-423-5250
Practice Fax:

1326427824 — KATHLEEN P PENZENSTADLER M.D.
Practice Location Address:

4202 W OAKWOOD PARK CT STE 120
FRANKLIN, WI
53132-9565

Practice Phone: 414-855-2800
Practice Fax:

1962011981 — AMANDA L CHRISTIAN NP
Practice Location Address:

4202 W OAKWOOD PARK CT STE 120
FRANKLIN, WI
53132-9565

Practice Phone: 414-855-2800
Practice Fax: 414-855-2801

Directions to “ JODI L WILDE NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.