Individual
ALYSSA JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 PLEASANT ST, BELOIT, WI 53511-4468
(608) 774-4999
Mailing address
1035 PLEASANT ST, BELOIT, WI 53511-4468
(608) 774-4999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
246149
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246149
—
WI
Enumeration date
03/07/2019
Last updated
03/07/2019
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