Jo Ann Jeschke, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Menominee, MI
NPI 1508055096 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1508055096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- Practice address
- 1500 16TH Ave
Menominee, MI 49858-2650 - Phone
- (906) 864-4474
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109341-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | Yes |
Addresses
Primary practice location
1500 16TH Ave
Menominee, MI 49858-2650
Mailing address
1500 16TH Ave
Menominee, MI 49858-2650
Phone (906) 864-4474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38327700 | Other | WI | MEDICAID PROVIDER |
Other providers in Menominee, MI
- Ireland Family Chiropractic
- Kevin E Ireland
- Sandra L. Ireland
- Iron Mountain Vamc
- April M Jensen
- Christina Kakuk
- Emily Kangas
- Joshua J Kickhaver
- Billie Kimmell
- Ray S Koivunen
All providers in Menominee, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.