Individual
JESSICA HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7170
(608) 280-7243
Mailing address
4196 VILAS RD, COTTAGE GROVE, WI 53527-9477
(608) 886-2883
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA327001
WI
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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