THERESE L. JAECKLE

CEDARBURG, WI
NPI1063696516
Former NameTHERESE ANN LUPONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  3319-033)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WI  3319-033)
Enumeration Date2007-12-19
Last Update Date2009-02-04
Business Address
Mrs. THERESE L. JAECKLE MSN, APNP
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012-2768
Phone number: 262-375-1116
Mailing Address
Mrs. THERESE L. JAECKLE MSN, APNP
4670 N 143RD ST
BROOKFIELD, WI 53005-1664
Phone number: 262-781-0297