Individual
JESSICA L HABECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5020
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
179249
WI
363LF0000X
Family Nurse Practitioner
Primary
8759-33
WI
Other
Enumeration date
10/08/2018
Last updated
07/13/2021
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