Individual
JESSE COUGHLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
641 W MAIN ST, 313, MADISON, WI 53703-2690
(608) 259-6712
Mailing address
25 N WEBSTER ST, 2, MADISON, WI 53703-2831
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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