Individual
MRS. JESSICA FRIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 STONEY CREEK CT, APPLETON, WI 54913-7953
(715) 450-4298
Mailing address
3815 STONEY CREEK CT, APPLETON, WI 54913-7953
(715) 450-4298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8937-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2018
Last updated
10/21/2019
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