NPI 1093545279
Jessica Lynn Mickevicius, PHARMD
Practice location
- Address
- 411 Pewaukee Rd, Pewaukee, WI 53072-5886
- Phone
- (262) 695-2878
- Mailing address
- 13405 W Burleigh Rd APT 103, Brookfield, WI 53005-3053
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1093545279
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Aug 2024
- Record last updated
- 27 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.