Individual
JESSICA RENEA RANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10212 N GREENWOOD LN, HAYWARD, WI 54843-7220
(715) 634-6520
(715) 634-7055
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1143764
KY
363LF0000X
Family Nurse Practitioner
Primary
13464
WI
363LF0000X
Family Nurse Practitioner
3013758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100652880
—
KY
Enumeration date
10/22/2019
Last updated
04/30/2024
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