Individual
JODI L WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4202 W OAKWOOD PARK CT STE 200, FRANKLIN, WI 53132-9565
(414) 423-5250
Mailing address
4202 W OAKWOOD PARK CT STE 200, FRANKLIN, WI 53132-9565
(414) 423-5250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
151348
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026312
—
WI
Enumeration date
08/23/2012
Last updated
11/07/2023
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