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Jessica L Acevedo, RN

Registered Nurse in Wauwatosa, WI. Individual provider (NPI-1).

NPI number1154615334
StatusActive
Last updated in NPPESJun 5, 2011

Details

NPI
1154615334
Entity type
Individual (NPI-1)
Name
Mrs. Jessica L Acevedo
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 5, 2011
Last updated
Jun 5, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse176602-30WIYes

Practice location

1104 N 118th St
Wauwatosa, WI 53226-3339

Phone 414-943-3396

Mailing address

1104 N 118th St
Wauwatosa, WI 53226-3339

Phone 414-943-3396

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in Wauwatosa, WI

All 34 Registered Nurse providers in Wauwatosa · All 2,300 providers in Wauwatosa

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