Jessica Krupinski, PA
Physician Assistant in Watertown, WI. Individual provider (NPI-1).
NPI number1104415835
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1104415835
- Entity type
- Individual (NPI-1)
- Name
- Jessica Krupinski
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2021
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5387-23 | WI | Yes |
Practice location
123 Hospital Dr Ste 212Watertown, WI 53098-3336
Phone 920-471-4044
Mailing address
Po Box 735044Chicago, IL 60673-5044
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