Individual
JESSICA HUTCHINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19005 W CAPITOL DR STE 130, BROOKFIELD, WI 53045-2705
(262) 510-7462
Mailing address
2416 S 52ND ST, WEST ALLIS, WI 53219-2384
(262) 510-7462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112093-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12093-33
MEDICAL SPA
WI
Enumeration date
07/18/2022
Last updated
01/29/2025
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