Jandrin, Jonathan K

Jandrin, Jonathan K is an individual health care provider with primary practice located at 1500 Arbor Way , Kaukauna WI 54130-7305. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jandrin, Jonathan K can be contacted via phone (920) 288-5555.

Contact Information

Primary practice address
1500 Arbor Way Kaukauna WI 54130-7305
Phone: (920) 288-5555
Fax: (262) 288-5550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1187-39 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13440-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13440 Wisconsin

Profile Details

NPI number 1538460175
LBN Legal business name Jandrin, Jonathan K
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2010
Last updated Oct 3rd, 2023 - 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 1538460175 NPPES
Wisconsin MEDICAID 100227220

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