Individual
JESSICA MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
APNP
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-0524
Mailing address
125 RIVER HILLS DR APT 4309, FOND DU LAC, WI 54937-9183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17413-33
WI
Other
Enumeration date
09/30/2025
Last updated
11/03/2025
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