Individual
JESSICA L LOEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
(920) 907-7021
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5484
WI
363LF0000X
Family Nurse Practitioner
5484
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033367
—
WI
Enumeration date
10/01/2013
Last updated
08/02/2024
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