Individual
JESSICA A DEKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5800 W LAYTON AVE, GREENFIELD, WI 53220-4021
(262) 532-3067
Mailing address
5800 W LAYTON AVE, GREENFIELD, WI 53220-4021
(262) 532-3067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4722
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020691
—
WI
Enumeration date
12/29/2011
Last updated
12/29/2023
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