Individual
AMBER JIRSCHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5880
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9894
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098641
—
WI
Enumeration date
03/27/2020
Last updated
04/17/2020
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