Jamie Kernen

Individual provider Active NPI Home Health Registered Nurse · Dousman, WI

NPI 1093427486 · NPPES record last updated Dec 19, 2022

Key facts

NPI
1093427486
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
193785-30 (WI)
Practice address
S53W34985 Glacier Dr
Dousman, WI 53118-9668
Phone
(262) 309-1871
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
193785-30WIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 193785-30 WI Yes

Addresses

Primary practice location

S53W34985 Glacier Dr
Dousman, WI 53118-9668

Mailing address

S53W34985 Glacier Dr
Dousman, WI 53118-9668
Phone (262) 309-1871

Other providers in Dousman, WI

All providers in Dousman, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.