Individual
JAMIE LEIGH DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 426-6100
(920) 426-6109
Mailing address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 426-6100
(920) 426-6109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2124-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43976600
—
WI
Enumeration date
08/15/2005
Last updated
05/26/2009
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