Individual
JESSICA KUPSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
415 BLACK EARTH RD, WALES, WI 53183-9759
(414) 630-8104
Mailing address
530 WINDSTONE DR UNIT 201, HARTLAND, WI 53029-1658
(414) 630-8104
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
143519-30
WI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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