Individual
JESSICA ANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CWOCN
Contact information
Practice address
1940 MICHIGAN AVE, WAUKESHA, WI 53188
(920) 517-4057
Mailing address
1940 MICHIGAN AVE, WAUKESHA, WI 53188-4247
(920) 517-4057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158865-30
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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