Individual
MISS JOYCE R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 N 76TH ST APT 3, MILWAUKEE, WI 53222-3057
(414) 484-2544
Mailing address
3533 N 76TH ST APT 3, MILWAUKEE, WI 53222-3057
(414) 484-2544
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
219422-30
WI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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