Individual
JESSICA E GORENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(920) 380-2715
Mailing address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(920) 380-2715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
162467
WI
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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