Individual
JESSICA SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
818 FORREST LN, WATERFORD, WI 53185-4585
(262) 514-8199
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10580
WI
363LF0000X
Family Nurse Practitioner
10580
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100171024
—
WI
Enumeration date
05/12/2021
Last updated
11/12/2025
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