NPI 1093692550

Kylie Jacques, LMCPM

Practitioner Midwife Menasha, WI

Practice location

Address: 990 Plank Rd, Menasha, WI 54952-2936
Phone: (701) 412-7415

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 604-49 (WI)

Other Midwife providers in Wisconsin →

Registry record

NPI: 1093692550
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2025
Record last updated: 18 Aug 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.