Individual
JESSICA MARIE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8420
(920) 926-8913
Mailing address
128 MARY ANN RD APT 7, BEAVER DAM, WI 53916-3134
(815) 353-5689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13686-33
WI
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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