Individual
JAYNE OURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1622 CHESTNUT ST, WEST BEND, WI 53095-3014
(262) 306-9800
Mailing address
1971 WASHINGTON ST, GRAFTON, WI 53024-2122
(262) 377-6276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16277
WI
164W00000X
Licensed Practical Nurse
Primary
314470
WI
Other
Enumeration date
09/13/2016
Last updated
11/07/2025
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