Individual
EMILY JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1005 S FAIRWAY DR, SPARTA, WI 54656-1443
(608) 633-2673
Mailing address
1005 S FAIRWAY DR, SPARTA, WI 54656-1443
(608) 633-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177115
WI
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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