Individual
JESSICA L TOMMERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2900 W OKLAHOMA AVE FL 5, MILWAUKEE, WI 53215-4330
(414) 649-5410
Mailing address
2900 W OKLAHOMA AVE FL 5, MILWAUKEE, WI 53215-4330
(414) 649-5410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4304
WI
Other
Enumeration date
03/02/2011
Last updated
11/30/2021
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