Individual
NICOLE CHRISTINE JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
Mailing address
1335 WOODMAN RD APT 4, JANESVILLE, WI 53545-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84340
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2022
Last updated
09/04/2024
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