Individual
JESSIE JO VINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5967
Mailing address
1407 SAINT ANDREWS ST, STE 100, LACROSSE, WI 54603
(608) 785-5967
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
15877230
WI
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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