Individual
JESSICA ANGOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2717 N GRANDVIEW BLVD STE 202, WAUKESHA, WI 53188-1660
(262) 513-0700
Mailing address
N2779 COUNTY ROAD M, WATERTOWN, WI 53098-3856
(920) 342-7616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6569-33
WI
363LG0600X
Gerontology Nurse Practitioner
6569-33
WI
Other
Enumeration date
09/12/2015
Last updated
10/25/2019
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