Individual
JASON DAVID KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1440 WOODBINE ST, WISCONSIN RAPIDS, WI 54495-4031
(715) 697-8140
Mailing address
1440 WOODBINE ST, WISCONSIN RAPIDS, WI 54495-4031
(715) 697-8140
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
246238-50
WI
163WP2201X
Ambulatory Care Registered Nurse
Primary
246238-50
WI
Other
Enumeration date
08/05/2020
Last updated
03/23/2026
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