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NPI Code Detail

MEDICARE: MS. JENNIFER LEIGH SUTTON FNP

MEDICARE: MS. JENNIFER LEIGH SUTTON FNP
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
1363LF0000XFamily Nurse Practitioner3007708KY
2363LF0000XFamily Nurse Practitioner71004233AIN
3363LF0000XFamily Nurse Practitioner18254-33WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992057889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LEIGH SUTTON FNP
Provider Business Mailing Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number : 866-384-9486
Provider Business Practice Location Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number : 866-384-9486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 04/15/2026

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