Individual
JESSICA LYNNE BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
401 S MILITARY RD, FOND DU LAC, WI 54935-4822
(920) 906-6660
Mailing address
401 S MILITARY RD, FOND DU LAC, WI 54935-4822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132218-30
WI
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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