Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jaclynn Ann Lien-Skubal, APNP

Individual provider Nurse Practitioner · NPI 1710237078

Mrs. Jaclynn Ann Lien-Skubal, APNP is a Nurse Practitioner in Cudahy, Wisconsin. Qualified in 2012, 14 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5900 S Lake Dr Lowr Level
Cudahy, WI 53110-3171
Phone: (414) 744-4000
Fax: (414) 489-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4973 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4973-33 (WI)

Record details

NPI number1710237078
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cudahy