Individual
JENESSA MARIE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
W1030 LUELLOFF RD, SHEBOYGAN, WI 53083-5148
(920) 207-3802
(920) 214-1073
Mailing address
1320 S 1ST ST UNIT 327, MILWAUKEE, WI 53204-2477
(920) 207-3802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4046-23
WI
363A00000X
Physician Assistant
Primary
C0008549
MD
Other
Enumeration date
07/03/2017
Last updated
08/13/2025
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