Individual
MELISSA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP-C
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9225
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9507-33
WI
Other
Enumeration date
08/13/2019
Last updated
10/06/2022
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