Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balanced Baby Lactation LLC

Organization Pediatric Nurse Practitioner · NPI 1700728763

Balanced Baby Lactation LLC is a Pediatric Nurse Practitioner in Twin Lakes, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

316 Buck Trl
Twin Lakes, WI 53181-9637
Phone: (262) 914-1433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1700728763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Jackley — Owner · (262) 914-1433
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address316 Buck Trl, Twin Lakes, WI 53181-9637