Individual
JASON CLYDE LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1423 CENTRAL AVE, SUPERIOR, WI 54880-5963
(715) 394-8785
Mailing address
3812 E 4TH ST, SUPERIOR, WI 54880-4122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172945-30
WI
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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