Individual
JESSICA M FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3630
(715) 685-7500
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17331-33
WI
363LW0102X
Women's Health Nurse Practitioner
17331-33
WI
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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