Individual
JASDEEP KAUR SRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5301 W HAMPTON AVE, MILWAUKEE, WI 53218-5019
(414) 299-3850
Mailing address
4411 W WOODLAND DR, FRANKLIN, WI 53132-8695
(414) 313-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149679-030
WI
363LF0000X
Family Nurse Practitioner
Primary
4621-33
WI
Other
Enumeration date
09/30/2011
Last updated
01/16/2013
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