Individual
DR. JEREMY DONALD NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
128 AUDUBON CT, GRAFTON, WI 53024-2217
(262) 689-0125
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
15546-33
WI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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