Individual
JODI LYN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Mailing address
9200 W WISCONSIN AVE, CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33-7179
WI
Other
Enumeration date
03/02/2017
Last updated
03/07/2017
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