Individual
JAYANNA VOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3800
Mailing address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6362
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154442-30
RN LIC
WI
01
—
6362-30
APNP LIC
WI
Enumeration date
06/16/2015
Last updated
06/16/2015
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