Nurse Practitioner, Pediatrics
BALANCED BABY LACTATION LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700728763 · enumerated 2026-04-08 · record updated 2026-04-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JENELL JACKLEY CPNP IBCLC, Owner · (262) 914-1433
Addresses and phones
- Mailing address 316 BUCK TRL, TWIN LAKES, WI, 53181-9637 (262) 914-1433 Google Maps Apple Maps OpenStreetMap
- Practice location 316 BUCK TRL, TWIN LAKES, WI, 53181-9637 (262) 914-1433 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary
In this directory
Locations and evidence
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Practice location
TWIN LAKES, WI, 531819637
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.