Individual
MRS. JENEA KATHLEEN STASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, WCC
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
114 ORCHARD ST, EDGERTON, WI 53534-2160
(608) 556-0320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141377-30
WI
163WW0000X
Wound Care Registered Nurse
Primary
4130704
WI
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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