Individual
JAIMIE R DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
Mailing address
352 CHURCH ST, BURLINGTON, WI 53105-1064
(262) 716-1475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2957
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36013600
—
WI
Enumeration date
09/26/2006
Last updated
10/02/2023
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