Individual
JAMIE ANN EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS HEALTH WELLNESS
Contact information
Practice address
1730 63RD CT APT 304, KENOSHA, WI 53144-5626
(847) 791-0360
Mailing address
1730 63RD CT APT 304, KENOSHA, WI 53144-5626
(847) 791-0360
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
WI
133NN1002X
Nutrition Education Nutritionist
—
WI
171400000X
Health & Wellness Coach
—
WI
252Y00000X
Early Intervention Provider Agency
—
WI
Other
Enumeration date
12/31/2025
Last updated
01/02/2026
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