Individual
JACKLINE NEKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WOPAT LN, MADISON, WI 53719-1863
(717) 802-4105
Mailing address
1 WOPAT LN, MADISON, WI 53719-1863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
255646
WI
Other
Enumeration date
05/24/2024
Last updated
12/18/2024
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