Provider Demographics
NPI:1891076972
Name:KLEIN, JANNA K (CPNP)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:K
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:LOHMOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-7263
Practice Address - Country:US
Practice Address - Phone:608-263-5442
Practice Address - Fax:608-265-1753
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10613363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner