Individual
JAY MITCHELL JEVNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-7500
Mailing address
1150 6TH AVE, CUMBERLAND, WI 54829-9103
(715) 822-7200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9972
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9972
WI
Other
Enumeration date
01/02/2020
Last updated
03/12/2025
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