Individual
JESSICA HELENA WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N27W23960 PAUL RD, PEWAUKEE, WI 53072-6218
(262) 408-5873
Mailing address
806 BUCKINGHAM CIR, HARTLAND, WI 53029-2543
(414) 399-3766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251843
WI
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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