Individual
JACQUELYN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 INTERNATIONAL LN, MADISON, WI 53704-3135
(608) 240-0020
Mailing address
2917 INTERNATIONAL LN, MADISON, WI 53704-3135
(608) 240-0020
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5689-33
WI
Other
Enumeration date
02/25/2014
Last updated
01/08/2015
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