Individual
JESSICA TJADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
960 N 12TH ST, SUITE 1800, MILWAUKEE, WI 53233-1306
(414) 278-9000
(414) 278-9005
Mailing address
620 S 76TH ST, STE 240, MILWAUKEE, WI 53214-1599
(414) 988-6350
(414) 988-6355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4111-033
WI
Other
Enumeration date
11/18/2010
Last updated
07/30/2015
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