Individual
JESSICA T WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10586
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
10586
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139940
—
WI
Enumeration date
12/01/2020
Last updated
12/08/2023
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