Noll, Jessica Lee

Noll, Jessica Lee is an individual health care provider with primary practice located at 7901 S 6Th St , Oak Creek WI 53154-2010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Noll, Jessica Lee can be contacted via phone (414) 346-8000.

Contact Information

Primary practice address
7901 S 6Th St Oak Creek WI 53154-2010
Phone: (414) 346-8000
Fax: (414) 346-8280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4641-33 Wisconsin

Profile Details

NPI number 1386929131
LBN Legal business name Noll, Jessica Lee
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Apr 1st, 2021 - about 5 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 1386929131 NPPES
Wisconsin MEDICAID 1386929131

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