Rouse-Edmonds, Jessica

Rouse-Edmonds, Jessica is an individual health care provider with primary practice located at 2240 Prairie Ave Ste 10 , Beloit WI 53511-2648. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rouse-Edmonds, Jessica can be contacted via phone (608) 361-7200.

Contact Information

Primary practice address
2240 Prairie Ave Ste 10 Beloit WI 53511-2648
Phone: (608) 361-7200
Fax: (608) 361-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 241372-30 Wisconsin

Profile Details

NPI number 1396222923
LBN Legal business name Rouse-Edmonds, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 6 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 1396222923 NPPES
Wisconsin MEDICAID 1629282470

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