Jackson, Julie M
Jackson, Julie M is an sole proprietor health care provider with primary practice located at 725 American Ave Interventional Pain, Waukesha WI 53188-5031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jackson, Julie M can be contacted via phone (262) 928-8672.Contact Information
Primary practice address
725 American Ave Interventional Pain
Waukesha WI 53188-5031
Phone: (262) 928-8672
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4653-33 | Wisconsin |
Profile Details
NPI number | 1982971479 |
---|---|
LBN Legal business name | Jackson, Julie M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2011 |
Last updated | Nov 28th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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