Individual
JENNIFER DYESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
230 S SUMMERSET DR, MOUNT PLEASANT, WI 53406-3321
(262) 930-7205
Mailing address
230 S SUMMERSET DR, MOUNT PLEASANT, WI 53406-3321
(262) 930-7205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160356-30
WI
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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