Individual
JESSICA SHUMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4599
(262) 646-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15909-30
WI
Other
Enumeration date
09/30/2024
Last updated
10/09/2024
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