Individual
MARISSA LEE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
3781 S 68TH ST, MILWAUKEE, WI 53220-1828
(262) 389-8186
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14298
WI
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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