Individual
JESSICA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 ROOSEVELT RD, KENOSHA, WI 53142-7231
(844) 493-1052
Mailing address
3601 ROOSEVELT RD, KENOSHA, WI 53142-7231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11884-33
WI
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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