Individual
KATHRYN JELACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10180 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1604
(262) 687-7500
Mailing address
3532 S 44TH ST, GREENFIELD, WI 53220-1504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15332
WI
Other
Enumeration date
03/11/2024
Last updated
05/06/2024
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