Individual
JESSICA RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(800) 283-2881
Mailing address
PO BOX 2705, EAGLE RIVER, WI 54521-2705
(715) 317-0062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
16323-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
16323-33
WI
Other
Enumeration date
01/02/2025
Last updated
05/09/2025
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