Individual
JESSICA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
458 LAKE ST, PEWAUKEE, WI 53072-3630
(262) 701-5532
Mailing address
N88W18561 DUKE ST, MENOMONEE FALLS, WI 53051-1905
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
222727-30
WI
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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