Individual
JACLYN T PEISSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Mailing address
1702 FOX RUN, MENOMONIE, WI 54751-1401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13831-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248089
—
WI
Enumeration date
04/17/2023
Last updated
06/18/2024
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