Individual
JEAN RENE JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W5912 DEAN RD, TOMAHAWK, WI 54487-8314
(715) 966-1107
Mailing address
W5912 DEAN RD, TOMAHAWK, WI 54487-8314
(715) 966-1107
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
144858030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38325000
—
WI
Enumeration date
05/07/2008
Last updated
05/07/2008
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