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AMIE JABANG APNP
NPI 1760946628
Nurse Practitioner - Family in Oconomowoc, WI

Active since January 24, 2019
1746 EXECUTIVE DR, OCONOMOWOC, WI 53066(262) 569-5515 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 14, 2026, Jan 24, 2019 (2 updates tracked since 2019).

About Amie Jabang Apnp NPPES

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

AMIE JABANG APNP (NPI 1760946628) is an individual family provider in Oconomowoc, Wisconsin, licensed in Wisconsin (18460.33) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1760946628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMIE JABANGCredential: APNP
Location Address1746 EXECUTIVE DROconomowoc, WI 53066-4830
Mailing Address36100 Genesee Lake RdOconomowoc, WI 53066-9201 · (262) 569-5515
Phone(262) 569-5515
Sole ProprietorYes
Enumeration DateJanuary 24, 2019
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1760946628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 18460.33
1746 EXECUTIVE DR, Oconomowoc, WI 53066
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCONOMOWOC HOME HEALTH CARE, LLC
Home Health
1746 EXECUTIVE DR
OCONOMOWOC, WI 53066
Waukesha County (262) 569-5520

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 Amie Jabang's NPI number?

The NPI number for Amie Jabang is 1760946628. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Where is Amie Jabang located?

Amie Jabang practices at 1746 Executive Dr, Oconomowoc, WI 53066. The listed phone number is (262) 569-5515.

What is Amie Jabang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amie Jabang was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.