Individual provider · Type 1 NPI

Jessica Anne Wallis-Bhyravabotla, FNP-C

Nurse Practitioner · Madison, WI

NPI number 1962879296 Active

Practice location

600 Highland Ave
Madison, WI 53792-1840

Call (608) 265-1700 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X7559 (WI)
Nurse Practitioner Primary 363L00000X7559 (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 1962879296

Jessica Anne Wallis-Bhyravabotla, FNP-C's National Provider Identifier is 1962879296, issued on Aug 21, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, WI. The record was last updated on Feb 25, 2022.