Provider Demographics
NPI:1851107221
Name:LAJEUNESSE, KRISTI JO (RN)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:JO
Last Name:LAJEUNESSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:JO
Other - Last Name:SCHWEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2781 MERRYLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROSHOLT
Mailing Address - State:WI
Mailing Address - Zip Code:54473-9560
Mailing Address - Country:US
Mailing Address - Phone:715-570-5176
Mailing Address - Fax:
Practice Address - Street 1:2781 MERRYLAND RD
Practice Address - Street 2:
Practice Address - City:ROSHOLT
Practice Address - State:WI
Practice Address - Zip Code:54473-9560
Practice Address - Country:US
Practice Address - Phone:715-570-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI223531163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse