Jean Rene Jarvis, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

144858030 Issued in WI

Practice address

W5912 Dean Rd
Tomahawk, WI 54487-8314

Phone

(715) 966-1107

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1386810638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5912 DEAN RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544878314",
            "telephone_number": "715-966-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5912 DEAN RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544878314",
            "telephone_number": "715-966-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "JEAN",
        "middle_name": "RENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "WI",
            "license": "144858030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38325000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Drew Ice, LAT
• Victor Ierulli, MD
• Robert David Imm, DDS
• Amy Marie Imme
• Innate Life LLC (Innate Life)
• R Heidi Jarvis
• William Wayne Jones
• David D Kim, MD
• Catherine Marie Koth, PTA
• Carri Kraft, RN

• Hospice Registered Nurse in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Hospice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.