Balanced Baby Lactation LLC
NPI 1700728763ActiveOrganization· Nurse Practitioner, Pediatrics· Twin Lakes, WI
Nurse Practitioner, Pediatrics in Twin Lakes, Wisconsin, registered in NPPES in April 2026. The authorized official on file is Jenell Diane Jackley, CPNP IBCLC, Owner.
Overview
| NPI | 1700728763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2026 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|