Individual provider · Type 1 NPI

Mary Jane De Jesus

Family Nurse Practitioner · Milwaukee, WI

NPI number 1194337089 Active

Practice location

3727 W Wisconsin Ave
Milwaukee, WI 53208-3182

Other practice locations

  • 934 S 32nd St, Milwaukee, WI 53215-1550 · (414) 519-6888

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X199574-30 (WI)
Family Nurse Practitioner Primary 363LF0000X10316-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1194337089

Mary Jane De Jesus's National Provider Identifier is 1194337089, issued on Aug 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 29, 2021.