Individual
JESSICA M ALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 612-2350
Mailing address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 612-2350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10049
WI
Other
Enumeration date
04/18/2020
Last updated
09/26/2021
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