Individual
JESSICA HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
241033-30
WI
163W00000X
Registered Nurse
2427539
MN
Other
Enumeration date
10/12/2016
Last updated
11/29/2023
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