Provider Demographics
NPI:1861946386
Name:KAILEY, JASVIR KAUR (APNP)
Entity type:Individual
Prefix:
First Name:JASVIR
Middle Name:KAUR
Last Name:KAILEY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1622
Mailing Address - Country:US
Mailing Address - Phone:414-251-3500
Mailing Address - Fax:414-251-3504
Practice Address - Street 1:5434 W CAPITOL DR STE 1
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2298
Practice Address - Country:US
Practice Address - Phone:414-251-3500
Practice Address - Fax:414-251-3504
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7171363L00000X
WI7171-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily