Individual
JESSICA MARIE FLAESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1106 UNIVERSITY DR, SUITE 102, MARINETTE, WI 54143-5109
(715) 732-2176
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164157-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6714-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201501940
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
09/16/2015
Last updated
07/07/2020
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