Jasdeep Kaur Sra, RN
Nurse Practitioner, Family in Milwaukee, WI. Individual provider (NPI-1).
NPI number1649554239
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1649554239
- Entity type
- Individual (NPI-1)
- Name
- Jasdeep Kaur Sra
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2011
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4621-33 | WI | Yes |
| 163W00000X | Registered Nurse | 149679-030 | WI |
Practice location
5301 W Hampton AveMilwaukee, WI 53218-5019
Phone 414-299-3850
Mailing address
4411 W Woodland DrFranklin, WI 53132-8695
Phone 414-313-5914
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