Individual
JESSICA M FALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245870
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
14661
WI
Other
Enumeration date
01/13/2022
Last updated
12/27/2023
Update your record
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