Individual
JESSICA ANN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SPRING ST, BEAVER DAM, WI 53916-1178
(920) 887-1200
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81826-20
WI
Other
Enumeration date
03/22/2019
Last updated
07/06/2023
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