Individual
JILL M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2626
Mailing address
3054 MINERAL SPRINGS BLVD, OCONOMOWOC, WI 53066-4806
(262) 366-9749
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
130034
WI
163WP0200X
Pediatric Registered Nurse
Primary
130034
WI
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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