Individual
JEREMY S WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
167477
WI
363L00000X
Nurse Practitioner
Primary
9985-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098663
—
WI
Enumeration date
01/25/2020
Last updated
03/27/2026
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