Individual
MRS. JULIE M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 AMERICAN AVE, INTERVENTIONAL PAIN, WAUKESHA, WI 53188-5031
(262) 928-8672
Mailing address
725 AMERICAN AVE, INTERVENTIONAL PAIN, WAUKESHA, WI 53189
(262) 928-8672
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4653-33
WI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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