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

Kylie Jacques, LM, CPM

Individual provider Midwife · NPI 1093692550

Kylie Jacques, LM, CPM is a Midwife in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

990 Plank Rd
Menasha, WI 54952-2936
Phone: (701) 412-7415
Show map & directions

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

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 604-49 (WI)

Record details

NPI number1093692550
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM , CPM
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address990 Plank Rd, Menasha, WI 54952-2936

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