Individual
JESSIE M GRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4480 W SPENCER ST, APPLETON, WI 54914-9106
(920) 738-4800
(920) 738-5749
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2336
WI
363LF0000X
Family Nurse Practitioner
Primary
2336
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43999800
—
WI
Enumeration date
07/03/2006
Last updated
03/17/2018
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