Individual
MRS. JENNIFER JO OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5073 SUNSET CIR, VESPER, WI 54489-9454
(715) 569-4450
Mailing address
5073 SUNSET CIR, VESPER, WI 54489-9454
(715) 569-4450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
163WH0200X
Home Health Registered Nurse
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35022400
—
WI
Enumeration date
08/28/2007
Last updated
08/28/2007
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