Individual
ELISE M JONDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Mailing address
7840 SANDY RIDGE RD, KEWASKUM, WI 53040-9474
(262) 689-0166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8477
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154816692
—
WI
Enumeration date
06/27/2018
Last updated
09/04/2020
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