Jovicic, Tajana
Jovicic, Tajana is an sole proprietor health care provider with primary practice located at 11430 N Port Washington Rd , Mequon WI 53092-3414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jovicic, Tajana can be contacted via phone (262) 518-1900.Contact Information
Primary practice address
11430 N Port Washington Rd
Mequon WI 53092-3414
Phone: (262) 518-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10395 | Wisconsin |
Profile Details
| NPI number | 1801494778 |
|---|---|
| LBN Legal business name | Jovicic, Tajana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2020 |
| Last updated | May 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801494778 | NPPES |
| Wisconsin | Other | 10395 | FNP |
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