Jessica M Larue
Registered Nurse in Oak Creek, WI. Individual provider (NPI-1).
NPI number1831446293
StatusActive
Last updated in NPPESAug 4, 2012
Details
- NPI
- 1831446293
- Entity type
- Individual (NPI-1)
- Name
- Miss Jessica M Larue
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2012
- Last updated
- Aug 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 162437-30 | WI | Yes |
Practice location
10417 S Mockingbird LnOak Creek, WI 53154-6317
Phone 414-507-1586
Mailing address
10417 S Mockingbird LnOak Creek, WI 53154-6317
Phone 414-507-1586
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All 22 Registered Nurse providers in Oak Creek · All 727 providers in Oak Creek
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