Individual
JILL A JURGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6918 HUBBARD AVE, MIDDLETON, WI 53562-3228
(608) 824-0029
Mailing address
6918 HUBBARD AVE, MIDDLETON, WI 53562-3228
(608) 824-0029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35020300
—
WI
Enumeration date
08/07/2007
Last updated
08/07/2007
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