Willard, Jesse

Willard, Jesse is an sole proprietor health care provider with primary practice located at 1128 Morraine View Dr Unit 301, Madison WI 53719-3078. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Willard, Jesse can be contacted via phone (608) 338-9774.

Contact Information

Primary practice address
1128 Morraine View Dr Unit 301 Madison WI 53719-3078
Phone: (608) 338-9774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 320697-31 Wisconsin

Profile Details

NPI number 1114475225
LBN Legal business name Willard, Jesse
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2016
Last updated Sep 18th, 2016 - about 10 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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