Individual
JANE NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-7300
(715) 822-7301
Mailing address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83779-30
WI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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