Individual
JACQUELINE KRISTINE ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
Mailing address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42589100
—
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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