Jesberg, Carole A.

Jesberg, Carole A. is an individual health care provider with primary practice located at 1500 N 34Th St Suite 200, Superior WI 54880-4477. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jesberg, Carole A. can be contacted via phone (715) 392-8216.

Contact Information

Primary practice address
1500 N 34Th St Suite 200 Superior WI 54880-4477
Fax: (715) 392-6055
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 145190-030 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 145190-030 Wisconsin

Profile Details

NPI number 1386813707
LBN Legal business name Jesberg, Carole A.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Sep 15th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386813707 NPPES
Wisconsin MEDICAID 1194994525

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