Individual
MRS. JESSICA ANN ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 E LAKE ST, SILVER LAKE, WI 53170-1728
(262) 885-6010
Mailing address
310 E LAKE ST, SILVER LAKE, WI 53170-1728
(262) 885-6010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171632-030
WI
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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