Jackson, Julie M

Jackson, Julie M is an sole proprietor health care provider with primary practice located at 725 American Ave Interventional Pain, Waukesha WI 53188-5031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jackson, Julie M can be contacted via phone (262) 928-8672.

Contact Information

Primary practice address
725 American Ave Interventional Pain Waukesha WI 53188-5031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4653-33 Wisconsin

Profile Details

NPI number 1982971479
LBN Legal business name Jackson, Julie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 15 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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