Individual
MRS. CAROLE A. JESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145190-030
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
145190-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194994525
—
WI
Enumeration date
02/29/2008
Last updated
09/15/2014
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