GINA LOUISE JETZER LPN
NPI 1104512052
Licensed Practical Nurse in Sheboygan, WI

Q: What is Gina Jetzer's NPI number?

The NPI number for Gina Jetzer is 1104512052. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Gina Jetzer's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Jetzer was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2023

2405 COOPER AVE, SHEBOYGAN, WI 53083(920) 946-2607 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gina Louise Jetzer Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA LOUISE JETZER LPN (NPI 1104512052) is an individual licensed practical nurse in Sheboygan, Wisconsin, licensed in Wisconsin (310358-031) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1104512052

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGINA LOUISE JETZERCredential: LPN

Location Address2405 COOPER AVESheboygan, WI 53083-4202

Mailing Address2405 Cooper AveSheboygan, WI 53083-4470 · (920) 946-2607

Phone(920) 946-2607

Sole ProprietorNo

Enumeration DateApril 13, 2023

NPPES CertifiedApril 13, 2023

✔ NPI 1104512052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WI · 310358-031

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2405 COOPER AVE, Sheboygan, WI 53083

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Jetzer's NPI number?

The NPI number for Gina Jetzer is 1104512052. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Gina Jetzer located?

Gina Jetzer practices at 2405 Cooper Ave, Sheboygan, WI 53083. The listed phone number is (920) 946-2607.

What is Gina Jetzer's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gina Jetzer was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.