Van Matre-Wattles, Jennifer L

Van Matre-Wattles, Jennifer L is an individual health care provider with primary practice located at W231N1440 Corporate Ct , Waukesha WI 53186-1303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Van Matre-Wattles, Jennifer L can be contacted via phone (262) 896-6000.

Contact Information

Primary practice address
W231N1440 Corporate Ct Waukesha WI 53186-1303
Phone: (262) 896-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11873 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 163519 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11873 Wisconsin

Profile Details

NPI number 1821730193
LBN Legal business name Van Matre-Wattles, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2022
Last updated Oct 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821730193 NPPES
Wisconsin MEDICAID 100199781
Wisconsin MEDICAID 100199803

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