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Individual
JACLYN A. EDMONDS
Active
Individual
JACLYN A. EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
246445
WI
363L00000X
Nurse Practitioner
11355
WI
367A00000X
Advanced Practice Midwife
Primary
149028
WI
Other
Enumeration date
08/27/2021
Last updated
04/01/2025
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