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

Mrs. Jennifer Kristin Prom, APNP

Individual provider Family Nurse Practitioner · NPI 1902153844

Mrs. Jennifer Kristin Prom, APNP is a Family Nurse Practitioner in Cedarburg, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

9025 Oakridge Ln
Cedarburg, WI 53012-9388
Phone: (262) 375-6858
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4891-33 (WI)

Record details

NPI number1902153844
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 9, 2012

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