Individual
JESSICA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 NORTHVIEW RD, WAUKESHA, WI 53188-1617
(262) 548-7200
Mailing address
1660 N PROSPECT AVE UNIT 402, MILWAUKEE, WI 53202-6719
(414) 313-5931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226357-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E43832
FAVORITE STAFFING
—
Enumeration date
01/29/2021
Last updated
01/29/2021
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