Individual
JONATHAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1707 ROWLAND AVE # 1, MADISON, WI 53704-4109
(802) 238-2258
Mailing address
1707 ROWLAND AVE # 1, MADISON, WI 53704-4109
(802) 238-2258
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
184922-30
WI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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