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Individual

KELLY JOSSART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP, PMHNP-BC

Contact information

Practice address
200 HICKORY ST, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Mailing address
200 HICKORY ST, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13251-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13251
WI

Other

Enumeration date
10/20/2022
Last updated
02/21/2024
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