Individual
JESSICA RAE ENRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
1764 SURREY TRL, GREEN BAY, WI 54313-7396
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
136817-30
WI
363LF0000X
Family Nurse Practitioner
Primary
10101-33
WI
Other
Enumeration date
04/16/2020
Last updated
08/28/2020
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