Individual
JESSICA SUE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1011 E SPRUCE ST STE 6, ABBOTSFORD, WI 54405-9459
(715) 316-0799
Mailing address
1011 E SPRUCE ST STE 6, ABBOTSFORD, WI 54405-9459
(715) 316-0799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17482-33
WI
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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