Individual provider · Type 1 NPI
Jesse Selestow
Nurse Practitioner · Milwaukee, WI
Practice location
2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee, WI 53215-3633
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8208-33 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1780192799
Jesse Selestow's National Provider Identifier is 1780192799, issued on Jan 12, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 22, 2024.