Street, Jessica

Street, Jessica is an individual health care provider with primary practice located at 843 Eastern Ave Apt 14 , West Bend WI 53095-4834. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Nursing Service Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Street, Jessica can be contacted via phone (352) 241-0529.

Contact Information

Primary practice address
843 Eastern Ave Apt 14 West Bend WI 53095-4834
Phone: (352) 241-0529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X 245340-30 Wisconsin
Nursing Service Providers / Pediatrics 163WP0200X 245340-30 Wisconsin

Profile Details

NPI number 1649892977
LBN Legal business name Street, Jessica
Credentials RN, CHPPN
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2020
Last updated May 8th, 2020 - 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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