Individual
DR. JESSICA LYNN BOTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-BC
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1530
(608) 265-8887
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9526-33
WI
Other
Enumeration date
08/21/2019
Last updated
01/13/2021
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