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MS. JEANNETTE CARMEN MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2941
Mailing address
922 N 28TH ST, SUPERIOR, WI 54880-5100
(715) 395-0552

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1128-033
WI

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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