Individual
JACINDA HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10800 W CAPITOL, WAUWATOSA, WI 53222
(866) 825-3227
(484) 450-2617
Mailing address
161 WASHINGTON ST, EIGHT TOWER BRIDGE SUITE 1400, CONSHOHOCKEN, PA 19428
(866) 825-3227
(484) 450-2617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3176
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3176
APNP LICENSE
WI
Enumeration date
09/21/2007
Last updated
09/21/2007
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