Individual
JESSICA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NNP-BC, APNP
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 969-7990
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 277-6820
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9942-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114552080
—
WI
Enumeration date
03/11/2020
Last updated
04/08/2024
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