Individual
JESSICA L STAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7416
Mailing address
9200 W WISCONSIN AVE, PO BOX 26099, MILWAUKEE, WI 53226-3522
(414) 805-7416
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7069-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912350539
—
WI
Enumeration date
07/19/2016
Last updated
11/16/2017
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