MRS. JENNIFER KRISTIN PROM APNP
NPI 1902153844
Nurse Practitioner - Family in Cedarburg, WI

Q: What is Jennifer Prom's NPI number?

The NPI number for Jennifer Prom is 1902153844. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Q: What is Jennifer Prom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Prom was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 09, 2012

9025 OAKRIDGE LN, CEDARBURG, WI 53012(262) 375-6858 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jennifer Kristin Prom Apnp NPPES

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

MRS. JENNIFER KRISTIN PROM APNP (NPI 1902153844) is an individual family provider in Cedarburg, Wisconsin, licensed in Wisconsin (4891-33) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1902153844

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER KRISTIN PROMCredential: APNP

Location Address9025 OAKRIDGE LNCedarburg, WI 53012-9388

Mailing Address9025 Oakridge LnCedarburg, WI 53012-9388 · (262) 375-6858

Phone(262) 375-6858

Sole ProprietorNo

Enumeration DateAugust 9, 2012

✔ NPI 1902153844 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 · 4891-33

9025 OAKRIDGE LN, Cedarburg, WI 53012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Jennifer Prom's NPI number?

The NPI number for Jennifer Prom is 1902153844. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Jennifer Prom located?

Jennifer Prom practices at 9025 Oakridge Ln, Cedarburg, WI 53012. The listed phone number is (262) 375-6858.

What is Jennifer Prom's specialty?

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

What insurance does Jennifer Prom accept?

Health plans from Medica list Jennifer Prom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Prom was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.